Active NPI
Tamara Stewart, QMHA
- Social Worker
- Beaverton, OR
National Provider Identifier
1770977498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24-QMHA-II-000301
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-QMHA-II-000301 | OR | MD | Social Worker |
| 19-QMHA-I-02018 | OR | MD | Case Manager/Care Coordinator |
Interoperability endpoints
- 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.