Individual provider Active NPI

Tamara Dawn Demean, NP-C

  • Family Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1891258182
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61172 Issued in ID
Practice address
1331 G St
Lewiston, ID 83501-1964
Phone
(208) 743-9616
Fax
(833) 963-2105
NPI assigned
Apr 12, 2019
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 61172 ID Primary

Addresses

Primary practice location

1331 G St
Lewiston, ID 83501-1964

Mailing address

1331 G St
Lewiston, ID 83501-1964
Phone (208) 743-9616

Other identifiers 1

IdentifierTypeStateIssuer
2136938MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191029000162 WA Practitioner - Nurse Practitioner 7416289210 Reassigns benefits to 1 organization
I20200925001066 ID Practitioner - Nurse Practitioner 7416289210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Demean Healthcare Solutions LLCGroup PAC ID 6002235975, 2 clinicians

Practice addresses (Care Compare)

1331 G St
Lewiston, ID 83501-1964
Phone (208) 743-9616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61172IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Memorial Hospital Current Accepting new patients
Tri-State Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Tri-State Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Demean Healthcare Solutions LLC Family CurrentSince Jun 17, 2020 Accepting new patients

Locations

1331 G St
Lewiston, ID 83501
Phone (208) 717-2299

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21395/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tamara.demean.1@21395.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1891258182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 G ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011964",
            "telephone_number": "208-743-9616",
            "fax_number": "833-963-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 G ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011964",
            "telephone_number": "208-743-9616",
            "fax_number": "833-963-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEAN",
        "first_name": "TAMARA",
        "middle_name": "DAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "61172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136938",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.