TARA LEE FETTERLY QMHA
NPI 1790222487
Peer Specialist in Prineville, OR
NPI Status: Active since January 19, 2017
Contact Information
1251 NE ELM ST
PRINEVILLE, OR
ZIP 97754
Phone: (541) 323-5330
Fax: (541) 447-4418
- Individual
- Female
- Peer Specialist
About TARA FETTERLY
This page provides the complete NPI Profile along with additional information for Tara Fetterly, a provider established in Prineville, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1790222487 assigned on January 2017. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1790222487
- Provider Name
- TARA LEE FETTERLY QMHA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1251 NE ELM ST PRINEVILLE, OR 97754
- Location Phone
- (541) 323-5330
- Location Fax
- (541) 447-4418
- Mailing Address
- 1251 NE ELM ST PRINEVILLE, OR 97754
- Mailing Phone
- (541) 323-5330
- Mailing Fax
- (541) 447-4418
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2017
- Last Update Date
- 01-19-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 283234 | MEDICAID (05) | OR |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790222487, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PRINEVILLE, OR 97754
PRINEVILLE, OR 97754
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790222487, enumerated as an "individual" on January 19, 2017.
The provider is located at 1251 NE ELM ST PRINEVILLE, OR 97754 and the phone number is (541) 323-5330.
Peer Specialist with taxonomy code 175T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
