MS. BREANNA MARIAH TUPPER (NPI# 1780230961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780230961 |
| Entity Type | Individual |
| Full Name | MS. BREANNA MARIAH TUPPER |
| Credential | THW |
| Practice Address |
2073 Olympic St Springfield OR 97477-3413 |
| Mailing Address |
151 W 7th Ave Ste 163 Eugene OR 97401-2676 |
| Practice Telephone | 5416823550 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW000003582 | OR | Other Service Providers |
| Street Address |
2073 OLYMPIC ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230051 | Sharon R Levine | Family Medicine | 2073 Olympic St, Springfield, OR 97477-3413 | 2005-07-22 |
| 1003413758 | Frances K Moore | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-10-06 |
| 1730794538 | Daisy Ojeda | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-09-09 |
| 1659998854 | Lauren Davis | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-07-03 |
| 1942820618 | Shannan Rene Healy | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-04-22 |
| 1225664709 | Drew Watts | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-03-17 |
| 1144867615 | Heather Lynne Woodward | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-12-04 |
| 1972164671 | Jaime Nicole Cosci | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-06-24 |
| 1346706389 | Benjamin Andrew Rosenberger | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-02-14 |
| 1336620061 | Danielle Tiffany Slate | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| 1922612159 | Renia Nicole Gavin | Peer Specialist | 537 E John St, Springfield, OH 45505-4156 | 2020-09-04 |
| 1417568197 | Skylar Lane Mcnutt | Peer Specialist | 4473 Phoenix Dr, Springfield, OH 45503-6325 | 2020-08-14 |
| 1235749326 | Lacasta Greene | Peer Specialist | 1375 Beverly Ave, Springfield, OH 45504-1943 | 2020-08-04 |
| 1023631686 | Teresa Ann Evans | Peer Specialist | 701 E Cassilly St, Springfield, OH 45503-3711 | 2020-05-18 |
| 1821624214 | Jessica Nicole Castello | Peer Specialist | 2 W Leffel Ln, Springfield, OH 45506-3520 | 2020-03-17 |
| 1992337083 | Linda Daily Leonhard | Peer Specialist | 551 Kingswood Dr N, Springfield, OH 45503-2305 | 2020-02-07 |
| 1073156477 | Keith Alan Robinson | Peer Specialist | 2680 E High St, Springfield, OH 45505-1400 | 2019-10-18 |
| 1356801187 | Ashley Monique Harris | Peer Specialist | 18 E Southern Ave, Springfield, OH 45506-2647 | 2019-03-20 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.