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Jessica Lynn Davidson

Case Manager/Care Coordinator β€’ Dallas, OR

Active NPI 1003355751 Individual Practitioner Female Practitioner
Practice location in NPPES

182 Sw Academy St
Dallas, OR 973381996

Call 5036239289 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

182 Sw Academy St

Dallas, OR 973381996

Telephone 5036239289
Organization at the Same NPPES Address or Phone
Polk County Mental Health Facility NPI 1154447068

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

NPI first issued

2017

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 Dallas and Oregon

31 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Dallas, OR (4,193 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dallas

0% of these 31 clinicians have the CMS telehealth indicator.

0% of these 31 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: 2022-07-06
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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.

7 listed
Anthony Koch , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1821676669

Psychiatric-Mental Health Nurse Practitioner

Hannah Rose , LCSW

Counselor - Mental Health

NPI 1194261552

Licensed Clinical Social Worker

Chad Sawyer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497989669

Psychiatric-Mental Health Nurse Practitioner

Dr. Alfredo Soto , MD

Psychiatry & Neurology - Psychiatry

NPI 1841308632

Doctor of Medicine (M.D.)

Kirsten Teixeira , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023531126

Psychiatric-Mental Health Nurse Practitioner

Reva Vrana , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1932546447

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 06, 2022

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

πŸ“
Updated Business Mailing Address July 06, 2022

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

βœ…
NPI Profile Active February 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 14, 2017

Registered at 1233 EDGEWATER ST NW, SALEM, OR 973044049 (Tel: 5033787526)

πŸ“
Business Mailing Address (Initial Record) February 14, 2017

Registered at 1233 EDGEWATER ST NW, SALEM, OR 973044049 (Tel: 5033787526)

πŸ‘€
Provider Name / Credentials (Initial Record) February 14, 2017

Recorded as JESSICA DAVIDSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2017

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration February 14, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003355751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2017
Last Update: July 06, 2022
Sole Proprietor: No

Mailing Address

182 Sw Academy St

Dallas, OR 973381996

Phone: 5036239289

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.