SARAH ELIZABETH QUEWAKUM PMHNP-BC NPI 1639450026

NPI Information

NPI: 1639450026
Provider Name: SARAH ELIZABETH QUEWAKUM, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
911 COUNTRY CLUB RD STE 290
EUGENE, OR
ZIP 97401
Phone: (541) 313-6199
Get Directions

Sarah Elizabeth Quewakum, PMHNP-BC is a psychiatric/mental health nurse practitioner in Eugene, OR. Sarah Elizabeth Quewakum, PMHNP-BC NPI is 1639450026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

911 COUNTRY CLUB RD STE 290
EUGENE, OR
ZIP 97401-301
Phone: (541) 313-6199

The NPI 1639450026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2011 and was last updated on 8/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	247562	ARIZONA	No
3	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	247562	ARIZONA	No
4	163WP0808X	Registered Nurse	Psychiatric/Mental Health	247562	ARIZONA	No
5	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	247562	ARIZONA	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	10011107	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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