KYLE BRENT ODESHA
NPI 1023621950
Case Manager/Care Coordinator in Medford, OR

Q: What is Kyle Odesha's NPI number?

The NPI number for Kyle Odesha is 1023621950. It was assigned to this individual provider in the NPPES registry on August 29, 2020.

Q: What is Kyle Odesha's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Odesha was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2020

200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2020, Aug 29, 2020 (2 updates tracked since 2020).

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About Kyle Brent Odesha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE BRENT ODESHA (NPI 1023621950) is an individual case manager/care coordinator provider in Medford, Oregon and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1023621950

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKYLE BRENT ODESHA

Location Address200 BEATTY STMedford, OR 97501-5811

Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373

Phone(541) 476-2373

Sole ProprietorNo

Enumeration DateAugust 29, 2020

Last NPPES UpdateDecember 29, 20232 updates tracked since enumeration

NPPES CertifiedDecember 29, 2023

✔ NPI 1023621950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

200 BEATTY ST, Medford, OR 97501

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE LEONIS RN

Registered Nurse