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Deidre Lynn Hathaway , #171M00000X - CASE M

Case Manager/Care Coordinator β€’ Eugene, OR

Active NPI 1689198327 Individual Practitioner Female Practitioner
Practice location in NPPES

2411 Mlk Jr Blvd
Eugene, OR 97401

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

2411 Mlk Jr Blvd

Eugene, OR 97401

Telephone 5416823550
Fax 5416829861
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.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Eugene, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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 Eugene and Oregon

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

0% of these 101 clinicians have the CMS telehealth indicator.

0% of these 101 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

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

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.

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

Secondary Practice Locations

687 Cheshire Ave

Eugene, OR 974025060

Phone: 5416844100

687 Cheshire Ave

Eugene, OR 97402

Phone: 5416844100

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

17 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Peer Specialist

πŸ“
Updated Practice Location July 26, 2019

Registered at 2411 MLK JR BLVD, EUGENE, OR 97401 (Tel: 5416823550)

πŸ“
Updated Business Mailing Address July 26, 2019

Registered at 2411 MLK JR BLVD, EUGENE, OR 974015824 (Tel: 5416823550)

πŸ‘€
Provider Name / Credentials Updated July 26, 2019

Recorded as DEIDRE HATHAWAY, #171M00000X - CASE M

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2019

Case Manager/Care Coordinator

πŸ“
Updated Business Mailing Address March 21, 2018

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

βœ…
NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 13, 2018

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: (541) 684-4100)

πŸ“
Updated Business Mailing Address February 13, 2018

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844100)

πŸ‘€
Provider Name / Credentials Updated February 13, 2018

Recorded as DEIDRE HATHAWAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2018

Counselor (license number reported to NPPES: OR T-18-019)

βœ…
NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 02, 2017

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: (541) 684-4100)

πŸ“
Business Mailing Address (Initial Record) August 02, 2017

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844100)

πŸ‘€
Provider Name / Credentials (Initial Record) August 02, 2017

Recorded as DEIDRE HATHAWAY, P.S.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Peer Specialist

🟒
Initial NPI Registration & Enumeration August 02, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689198327
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

2411 Mlk Jr Blvd

Eugene, OR 974015824

Phone: 5416823550

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.