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Breanna Mariah Tupper , THW

Peer Specialist β€’ Springfield, OR

Active NPI 1780230961 Individual Practitioner Female Practitioner
Practice location in NPPES

2073 Olympic St
Springfield, OR 974773413

Call 5416823550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2073 Olympic St

Springfield, OR 974773413

Telephone 5416823550
Organization at the Same NPPES Address or Phone
Lane County Oregon Facility NPI 1326138314

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Oregon

32 active clinicians are listed under Peer Specialist with a practice address in Springfield, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW000003582

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
Briana Axline , NP

Nurse Practitioner - Family

NPI 1942474283

Nurse Practitioner

Dr. John Bagdade , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1811020415

Doctor of Medicine (M.D.)

Karen Blundon , PA-C

Physician Assistant

NPI 1447561899

Physician Assistant (Certified)

Dr. Maria Bolanos , DO

Family Medicine

NPI 1801949417

Doctor of Osteopathic Medicine (D.O.)

Dr. Kevin Brown , MD

Internal Medicine

NPI 1558757922

Doctor of Medicine (M.D.)

Dr. Richard Brunader , MD

Family Medicine - Geriatric Medicine

NPI 1912982992

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Counselor

βœ…
NPI Profile Active August 22, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2019

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 974773413 (Tel: 5416823550)

πŸ“
Business Mailing Address (Initial Record) August 22, 2019

Registered at 151 W 7TH AVE STE 163, EUGENE, OR 974012676

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2019

Recorded as BREANNA TUPPER, THW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Peer Specialist (license number reported to NPPES: OR THW000003582)

🟒
Initial NPI Registration & Enumeration August 14, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780230961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2019
Last Update: September 16, 2021
Sole Proprietor: No

Mailing Address

151 W 7th Ave Ste 163

Eugene, OR 974012676

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.