NPIMap

Individual provider Active NPI

Tashina Louise Blair, FNP-BC

  • Nurse Practitioner
  • Salem, OR
National Provider Identifier
1952079931
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202215622NP-PP Issued in OR
Practice address
4999 Skyline Rd S
Salem, OR 97306-2878
Phone
(971) 332-8445
Fax
(503) 566-3469
NPI assigned
Sep 2, 2021
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202215622NP-PP OR Primary
Diabetes Educator Registered Nurse 163WD0400X 200541447RN OR

Addresses

Primary practice location

4999 Skyline Rd S
Salem, OR 97306-2878

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (541) 278-4332

Other practice location 1

850 SW 26th St
Corvallis, OR 97331-8624
Phone (541) 768-5166

Other practice location 2

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-4970

Other practice location 3

560 Wallace Rd NW
Salem, OR 97304-3858
Phone (971) 273-2023

Other names 1

  • Tashina Louise Martin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tblair252589@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219002820 OR Practitioner - Nurse Practitioner 1153790886 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

2555 NE Belvue St
Corvallis, OR 97330-4202
Phone (541) 768-2220

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

400 Hickory St NW
Albany, OR 97321-1700

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

4999 Skyline Rd S
Suite 100
Salem, OR 97306-0001
Phone (503) 364-4005

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-4970

534 Pleasant View Way NW
Albany, OR 97321-1700

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

990 NW Circle Blvd
Corvallis, OR 97330-1967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200541447RNORMDDiabetes Educator Registered Nurse
202215622NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Dec 8, 2022 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jul 15, 2023 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Swiftcare LLC CurrentSince May 28, 2023 Accepting new patients
Albany General Hospital CurrentSince Jan 2, 2023 Accepting new patients
Icco, LLC Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Albany General Hospital CurrentSince Jan 2, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Dec 8, 2022 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Dec 8, 2022 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Dec 8, 2022 Accepting new patients
Icco LLC CurrentSince Jul 1, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Praxis Health, PC CurrentSince Sep 10, 2024 Accepting new patients
Icco, LLC CurrentSince Jul 1, 2024 Accepting new patients
Praxis Health, PC CurrentSince Sep 10, 2024 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Jul 15, 2023 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

5234 SW Philomath Blvd
Corvallis, OR 97333
Phone (541) 768-4970

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

850 SW 26th St
Corvallis, OR 97331
Phone (541) 737-9355

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

4999 Skyline Rd S
Salem, OR 97306
Phone (503) 364-4005

4999 Skyline Rd S
Ste 100
Salem, OR 97306
Phone (503) 364-4005

560 Wallace Rd NW
Salem, OR 97304
Phone (888) 524-8219

560 Wallace Rd NW
Ste 140
Salem, OR 97304
Phone (888) 524-8219

Interoperability endpoints

  • Direct secure messaging: tashina.blair.1@15938.direct.athenahealth.com
  • Direct secure messaging: tblair252589@samhealth.direct-ci.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1952079931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "541-278-4332",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 SKYLINE RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062878",
            "telephone_number": "971-332-8445",
            "fax_number": "503-566-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 SW 26th St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973318624",
            "country_code": "US",
            "telephone_number": "541-768-5166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5234 SW Philomath Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331042",
            "country_code": "US",
            "telephone_number": "541-768-4970",
            "fax_number": "541-768-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Wallace Rd NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973043858",
            "country_code": "US",
            "telephone_number": "971-273-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "TASHINA",
        "middle_name": "LOUISE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202215622NP-PP",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OR",
            "license": "200541447RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tblair252589@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "5234 SW Philomath Blvd",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973331042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TASHINA",
            "last_name": "MARTIN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.