Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Tara Lee Fetterly, QMHA
Peer Specialist in Prineville, OR · enumerated 2017.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790222487
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Registry record
Entity type Individual (Type 1)
Name Tara Lee Fetterly
Credential QMHA
Sex Female
Practice address 1251 Ne Elm St, Prineville, OR, 97754
Phone (541) 323-5330
Fax (541) 447-4418
Enumeration date Jan 19, 2017
Last updated in NPPES Jan 19, 2017
Taxonomy & licenses
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283234 | Medicaid | OR | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1790222487 active?
Yes, as of the latest NPPES snapshot, NPI 1790222487 is active (record last updated 2017-01-19).
How do I verify Tara Fetterly's NPI record?
Cross-check NPI 1790222487 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Kenneth Long Physician Assistant · Prineville, OR NPI 1982605911 Scott Light Medical Physician Assistant · Prineville, OR NPI 1679653745 Kenneth Smith Physical Therapist · Prineville, OR NPI 1184773954 Laboratory Corporation of America Clinical Medical Laboratory · Prineville, OR NPI 1295861896 Roentgen Services, LLC Other Technician · Prineville, OR NPI 1417155946 Ronald W. Sproat, MD Surgery Physician · Prineville, OR NPI 1811186562 Thomas R. Scherer, Do Surgery Physician · Prineville, OR NPI 1578752952 Prineville Physical Therapy, LLC Physical Therapist · Prineville, OR NPI 1497909378
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-19.