Active NPI
Stacey Briscoe, MS OTR/L
- Pediatric Occupational Therapist
- Redmond, OR
National Provider Identifier
1679807523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 213691
- Practice address
- 6396 SW McVey Ave
Redmond, OR 97756-9069 - Phone
- (541) 316-0641
- NPI assigned
- Sep 24, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pediatric Occupational Therapist | 225XP0200X | 213691 | OR | Primary |
Addresses
Primary practice location
6396 SW McVey Ave
Redmond, OR 97756-9069
Mailing address
1317 SW 27TH St
Redmond, OR 97756-5101
Phone (503) 758-6740
Other names 1
- Stacey Briscoe
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213691 | OR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Friends Center for Autism, Inc. | Past | Accepting new patients | |
| Little Friends | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Warrenville, IL
- NPI 1992873038
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1194959767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1679807523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 SW 27TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "977565101",
"telephone_number": "503-758-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6396 SW MCVEY AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977569069",
"telephone_number": "541-316-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "STACEY",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "213691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "BRISCOE",
"credential": "MS OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.