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TAMARA LEIGH REDEKER SUDPT, CAAR
NPI 1861259574
Student in an Organized Health Care Education/Training Program in Spokane Valley, WA

Active since February 29, 2024PECOS Enrolled
15407 E MISSION AVE STE 100, SPOKANE VALLEY, WA 99037(509) 844-7967 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamara Leigh Redeker Sudpt, Caar NPPES

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

TAMARA LEIGH REDEKER SUDPT, CAAR (NPI 1861259574) is an individual student in an organized health care education/training program in Spokane Valley, Washington, licensed in Washington (CG61533173) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861259574
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTAMARA LEIGH REDEKERCredential: SUDPT, CAAR
Location Address15407 E MISSION AVE STE 100Spokane Valley, WA 99037-8527
Mailing Address15407 E Mission Ave Ste 100Spokane Valley, WA 99037-8527 · (509) 844-7967
Phone(509) 844-7967
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 29, 2024
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1861259574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · CG61533173
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO61533177 (WA)
15407 E MISSION AVE STE 100, Spokane Valley, WA 99037
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Leigh Redeker Sudpt, Caar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890276281
PECOS Enrollment IDI20260224002919
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL M HUGHES BA, SUDPT
Social Worker (Clinical)
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037
Spokane County (509) 927-1543
HEIDE REBEKAH TIFT
Counselor (Addiction (Substance Use Disorder))
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037
Spokane County (509) 927-1543
LYNN RICHARD HOLBERT
Counselor (Addiction (Substance Use Disorder))
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037
Spokane County (509) 927-1543
HOLLAND TOLIVER
Marriage & Family Therapist
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037
Spokane County (509) 927-1543
RAYCE R REED SUDPT
Counselor (Addiction (Substance Use Disorder))
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037
Spokane County (509) 638-8913
EILEEN JACOBSON CP00003047
Counselor (Addiction (Substance Use Disorder))
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037
Spokane County (509) 927-1543

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 Tamara Redeker's NPI number?

The NPI number for Tamara Redeker is 1861259574. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Tamara Redeker located?

Tamara Redeker practices at 15407 E Mission Ave Ste 100, Spokane Valley, WA 99037. The listed phone number is (509) 844-7967.

What is Tamara Redeker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tamara Redeker enrolled in Medicare?

Yes. Tamara Redeker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Redeker was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.