Individual provider Active NPI

Tallon Lamoreaux, NP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1487028361
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202009010NP-PP Issued in OR
Practice address
61822 Ten Barr Ranch Rd
Bend, OR 97701-9314
Phone
(541) 241-3500
Fax
(541) 241-3600
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202009010NP-PP OR Primary

Addresses

Primary practice location

61822 Ten Barr Ranch Rd
Bend, OR 97701-9314

Mailing address

61822 Ten Barr Ranch Rd
Bend, OR 97701-9314
Phone (541) 241-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019001988 OR Practitioner - Nurse Practitioner 3779903455 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Mental Performance LLC Psychiatric/Mental Health CurrentSince Oct 14, 2020 Accepting new patients
First Choice Psychiatry LLC CurrentSince Apr 13, 2025 Accepting new patients
Center for Family Development, Inc. Past Accepting new patients
Center for Family Development, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1487028361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61822 TEN BARR RANCH RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019314",
            "telephone_number": "541-241-3500",
            "fax_number": "541-241-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61822 TEN BARR RANCH RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019314",
            "telephone_number": "541-241-3500",
            "fax_number": "541-241-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOREAUX",
        "first_name": "TALLON",
        "credential": "NP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202009010NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.