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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYRA SHAW CADC
NPI 1831916592
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since September 24, 2024
200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373(541) 414-0750 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Sep 24, 2024 (2 updates tracked since 2024).

About Kyra Shaw Cadc NPPES

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

KYRA SHAW CADC (NPI 1831916592) is an individual addiction (substance use disorder) provider in Medford, Oregon and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1831916592
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKYRA SHAWCredential: CADC
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Fax(541) 414-0750
Sole ProprietorNo
Enumeration DateSeptember 24, 2024
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1831916592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
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
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SCOTT WILLISTON MS, QMHP
Counselor (Professional)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-3302
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyra Shaw's NPI number?

The NPI number for Kyra Shaw is 1831916592. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Kyra Shaw located?

Kyra Shaw practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Kyra Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kyra Shaw was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.