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Kyle Brent Odesha

Case Manager/Care Coordinator β€’ Medford, OR

Active NPI 1023621950 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Beatty St
Medford, OR 975015811

Call 5414762373 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

200 Beatty St

Medford, OR 975015811

Telephone 5414762373
Organization at the Same NPPES Address or Phone
Options For Southern Oregon Facility NPI 1043751597

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

NPI first issued

2020

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 Medford and Oregon

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Medford

0% of these 176 clinicians have the CMS telehealth indicator.

0% of these 176 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: 2023-12-29
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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

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.

4 listed
Jacob Buffington , PA-C

Physician Assistant

NPI 1508589771

Physician Assistant (Certified)

NPI 1891855268

Doctor of Philosophy (Ph.D.)

Dr. Malia Johnson , DNP, FNP

Nurse Practitioner - Family

NPI 1568715456

Doctor of Nursing Practice, Family Nurse Practitioner

Kimberly Weeks , LCSW, CADC I

Social Worker - Clinical

NPI 1316306301

Licensed Clinical Social Worker, CADCI

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location December 29, 2023

Registered at 200 BEATTY ST, MEDFORD, OR 975015811 (Tel: 5414762373)

πŸ“
Updated Business Mailing Address December 29, 2023

Registered at 1215 SW G ST, GRANTS PASS, OR 975262544 (Tel: 5414762373)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2023

Counselor

βœ…
NPI Profile Active September 03, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 03, 2020

Registered at 900 FULTON AVE, SACRAMENTO, CA 958254500 (Tel: 9164843570)

πŸ“
Business Mailing Address (Initial Record) September 03, 2020

Registered at 900 FULTON AVE, SACRAMENTO, CA 958254500 (Tel: 9164843570)

πŸ‘€
Provider Name / Credentials (Initial Record) September 03, 2020

Recorded as KYLE ODESHA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Community Health Worker

🟒
Initial NPI Registration & Enumeration August 29, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023621950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2020
Last Update: December 29, 2023
Sole Proprietor: No

Mailing Address

1215 Sw G St

Grants Pass, OR 975262544

Phone: 5414762373

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.