Kedrick Starr · Case Manager/Care Coordinator

18417 Se Oak St, Portland, OR 97233-4850

Overview

Kedrick Starr is a Case Manager/Care Coordinator practicing in Portland, Oregon. The National Provider Identifier (NPI) is #1871138453, which was assigned on November 7, 2019, and the registration record was last updated on November 7, 2019. The practitioner's main practice location is at 14600 Nw Cornell Rd., Portland, OR 97229; the contact telephone number is 5036459010. The primary taxonomy of Kedrick Starr is Case Manager/Care Coordinator (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.

Provider Information

NPI 1871138453
Entity Type Individual
Provider Name KEDRICK STARR
Gender Male
Practice Address 14600 Nw Cornell Rd.
Portland
OR 97229
Practice Telephone 5036459010
Mailing Address 18417 Se Oak St
Portland
OR 97233-4850
Mailing Telephone 2087614670
Enumeration Date 2019-11-07
Last Update Date 2019-11-07
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y171M00000XCase Manager/Care Coordinator

Taxonomy Information

Primary Taxonomy

Code 171M00000X
Taxonomy Case Manager/Care Coordinator
Classification Case Manager/Care Coordinator
Grouping Other Service Providers
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.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

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Location Information

Street Address 18417 SE OAK ST
City PORTLAND
State OR
Zip Code 97233-4850
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
India Roper-Moyes 18417 Se Oak St, Portland, OR 97233-4850Case Manager/Care Coordinator2026-01-21
Taylor Jones 18417 Se Oak St, Portland, OR 97233-4850Counselor2022-05-19
Malika Hopkins 18417 Se Oak St, Portland, OR 97233-4850Counselor2023-05-11
Lisette Lafontant 18417 Se Oak St, Portland, OR 97233-4850Mental Health Counselor2023-08-30
Amanda Nicole Sonju 18417 Se Oak St, Portland, OR 97233-4850Student in an Organized Health Care Education/Training Program2023-09-25
Joshua Walker Morrisett 18417 Se Oak St, Portland, OR 97233-4850Counselor2025-08-28
Bernie E Oflannigan 18417 Se Oak St, Portland, OR 97233Peer Specialist2024-03-06
Laurel Ann Bosma 18417 Se Oak St, Portland, OR 97233-4850Mental Health Counselor2024-01-26
Ashleigh Blandin 18417 Se Oak St, Portland, OR 97233-4850Student in an Organized Health Care Education/Training Program2025-05-14
Madeline Louise Knapp 18417 Se Oak St, Portland, OR 97233-4850Case Manager/Care Coordinator2024-05-15
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Kristine Fuentes To 12570 Se Stark St Bld #E, Portland, OR 97233Dental Assistant2025-07-28
Ella Burka 340 Se 148th Avenue Apt 1e, Portland, OR 97233Registered Nurse2011-08-10
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Michaela I Fouts 12360 Se Burnside, Portland, OR 97233Pharmacy Technician2016-09-01
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.