Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104076140 Individual Practitioner Female Practitioner

Tedra Stuart , LPC

In Home Supportive Care • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Tedra Stuart, LPC is a registered healthcare professional specializing in In Home Supportive Care in Springfield, OR. Practice services are available at 3406 WATERMARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3406 Watermark Dr

Springfield, OR 974776725

Telephone 5037980706

Specialty Benchmarks & Practice Insights

Comparative analytics for In Home Supportive Care in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Springfield, OR (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-22
In Home Supportive Care Primary Specialty

NUCC Taxonomy Code: 253Z00000X

State License OR 859573

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR C1334

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License OR C1334

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
859573 (OR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 22, 2022

Registered at 3406 WATERMARK DR, SPRINGFIELD, OR 974776725 (Tel: 5037980706)

📍
Updated Business Mailing Address September 22, 2022

Registered at 3406 WATERMARK DR, SPRINGFIELD, OR 974776725 (Tel: 5037980706)

📍
Updated Practice Location May 07, 2020

Registered at 1255 PEARL ST, EUGENE, OR 974013570 (Tel: 5416876983)

📍
Updated Business Mailing Address May 07, 2020

Registered at 1255 PEARL ST, EUGENE, OR 974013570 (Tel: 5416876983)

NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2013

Registered at 2645 PORTLAND RD NE STE 120, SALEM, OR 973010200 (Tel: 5033905637)

📍
Updated Business Mailing Address February 27, 2013

Registered at 2645 PORTLAND RD NE STE 120, SALEM, OR 973010200 (Tel: 5033905637)

👤
Provider Name / Credentials Updated February 27, 2013

Recorded as TEDRA STUART, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Counselor (License #C1334 in OR)

🟢
Initial NPI Registration & Enumeration September 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104076140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2008
Last Update: September 22, 2022
Sole Proprietor: Yes

Mailing Address

3406 Watermark Dr

Springfield, OR 974776725

Phone: 5037980706

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.