Individual provider Active NPI

Tamara Stewart, QMHA

  • Social Worker
  • Beaverton, OR
National Provider Identifier
1770977498
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
24-QMHA-II-000301 Issued in OR
Practice address
1500 NW Bethany Blvd
Suite 320
Beaverton, OR 97006-5208
Phone
(503) 567-3260
Fax
(503) 567-3264
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 19-QMHA-I-02018 OR
Social Worker 104100000X 24-QMHA-II-000301 OR Primary

Addresses

Primary practice location

1500 NW Bethany Blvd
Suite 320
Beaverton, OR 97006-5208

Mailing address

1500 NW Bethany Blvd Ste 320
Beaverton, OR 97006-5238

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
24-QMHA-II-000301ORMDSocial Worker
19-QMHA-I-02018ORMDCase Manager/Care Coordinator

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.tamarastewart@148835.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1770977498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 320",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD",
            "address_2": "SUITE 320",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065208",
            "telephone_number": "503-567-3260",
            "fax_number": "503-567-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TAMARA",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "19-QMHA-I-02018",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "24-QMHA-II-000301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.