Active NPI
Stasha Christian
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
National Provider Identifier
1669270765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 38051
- Practice address
- 740 NE 3Rd St # 53
Bend, OR 97701-4700 - Phone
- (541) 241-6171
- NPI assigned
- Mar 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 38051 | TN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10041669 | OR |
Addresses
Primary practice location
740 NE 3Rd St # 53
Bend, OR 97701-4700
Mailing address
440 E Broadway Ste 300
Eugene, OR 97401-3352
Other practice location 1
440 E Broadway Ste 300
Eugene, OR 97401-3352
Phone (615) 669-9941
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10041669 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 38051 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head Well PC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1669270765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E BROADWAY STE 300",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 NE 3RD ST # 53",
"city": "BEND",
"state": "OR",
"postal_code": "977014700",
"telephone_number": "541-241-6171"
}
],
"practiceLocations": [
{
"address_1": "440 E Broadway Ste 300",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013352",
"country_code": "US",
"telephone_number": "615-669-9941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "STASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-04",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "38051",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10041669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.