Individual provider Active NPI

Tiffany Ouchida

  • Community Health Worker
  • Hillsboro, OR
National Provider Identifier
1467084525
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
LMT-24511 Issued in OR
Practice address
862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240
Phone
(503) 648-6997
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X LMT-24511 OR Primary

Addresses

Primary practice location

862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240

Mailing address

862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL hightail

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMT-24511ORMDCommunity Health Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1467084525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST STE 2A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST STE 2A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUCHIDA",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "LMT-24511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "hightail",
            "affiliation": "N",
            "address_1": "862 SE Oak St Ste 2A",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.