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MS. TEDRA STUART LPC
NPI 1104076140
In Home Supportive Care in Springfield, OR

Active since September 26, 2008
3406 WATERMARK DR, SPRINGFIELD, OR 97477(503) 798-0706 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, May 7, 2020 (2 updates tracked since 2020).

About Ms. Tedra Stuart Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TEDRA STUART LPC (NPI 1104076140) is an individual in home supportive care provider in Springfield, Oregon, licensed in Oregon (859573) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1104076140
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameMS. TEDRA STUARTCredential: LPC
Location Address3406 WATERMARK DRSpringfield, OR 97477-6725
Mailing Address3406 Watermark DrSpringfield, OR 97477-6725 · (503) 798-0706
Phone(503) 798-0706
Sole ProprietorYes
Enumeration DateSeptember 26, 2008
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1104076140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in OR · 859573
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C1334 (OR)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C1334 (OR)
3406 WATERMARK DR, Springfield, OR 97477
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Other Identifiers 1

Medicaid859573OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tedra Stuart's NPI number?

The NPI number for Tedra Stuart is 1104076140. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Tedra Stuart located?

Tedra Stuart practices at 3406 Watermark Dr, Springfield, OR 97477. The listed phone number is (503) 798-0706.

What is Tedra Stuart's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Tedra Stuart was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.