Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104438282 Deactivated / Inactive NPI Female Practitioner

Aydree Lee Stuart , SUDPT

Peer Specialist • Vancouver, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Aydree Stuart has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2020
NPI Deactivation Date May 24, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Aydree Stuart, SUDPT was a registered Peer Specialist practicing in Vancouver, WA. Throughout an active medical career spanning 3 years, Aydree Stuart provided care at the practice location at 1601 E FOURTH PLAIN BLVD until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

1601 E Fourth Plain Blvd

Vancouver, WA 986613713

Telephone 3603978246
Associated Practice Facility / Clinic
🏢 Portland Vamc Facility NPI 1487698601

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Vancouver, WA

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

Practicing in Vancouver, WA (2660 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003043332

Master of Social Work

Leticia Cuevas

Counselor - Addiction (Substance Use Disorder)

NPI 1003354259
Laura Tenney , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1003443482
Ena Valjevac

Counselor

NPI 1003458894
Jacob Hammond , CMHC

Counselor - Mental Health

NPI 1003654765
Marry-Kate Lindsey , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1003686171

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active August 19, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2020

Registered at 1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 986613713 (Tel: 3603978246)

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Updated Business Mailing Address August 19, 2020

Registered at 14016 NE 16TH CIR, VANCOUVER, WA 986847213 (Tel: 3609522205)

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Provider Name / Credentials Updated August 19, 2020

Recorded as AYDREE STUART, SUDPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2020

Peer Specialist

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Initial NPI Registration & Enumeration August 19, 2020

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: 1104438282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2020
Last Update: August 19, 2020
Deactivation Date: May 24, 2023

Mailing Address

14016 Ne 16th Cir

Vancouver, WA 986847213

Phone: 3609522205

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.