Tamara Leigh Redeker, SUDPT, CAAR

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CG61533173 Issued in WA

Practice address

15407 E Mission Ave Ste 100
Spokane Valley, WA 99037-8527

Phone

(509) 844-7967

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Horizon Care Centers, Inc.

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1518186600
  Medicare reassignment NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1861259574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 E MISSION AVE STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378527",
            "telephone_number": "509-844-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15407 E MISSION AVE STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378527",
            "telephone_number": "509-844-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDEKER",
        "first_name": "TAMARA",
        "middle_name": "LEIGH",
        "credential": "SUDPT, CAAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61533177",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CG61533173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Reamer, MA, CCC-SLP
• Paul Francis Reamer, DDS
• Daryl V Reames, CRNA
• Gabriella Rebay
• Robert John Rech, ARNP
• Ian Redfield
• David Redmond
• Courtney Reed, PT
• Emily Kathleen Reed, LMP
• Kalsey Joelayne Reed, PHARMD

• Student in an Organized Health Care Education/Training Program in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.