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Deactivated NPI 1194248237 Deactivated / Inactive NPI Female Practitioner

Kimberly Sue Warner

Case Manager/Care Coordinator • Salem, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberly Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2017
NPI Deactivation Date October 02, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

Kimberly Warner was a registered Case Manager/Care Coordinator practicing in Salem, OR. Throughout an active medical career spanning 8 years, Kimberly Warner provided care at the practice location at 821 SAGINAW ST S until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

821 Saginaw St S

Salem, OR 973024121

Fax 5033629671
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
373 Specialists

Practicing in Salem, OR (4272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kellie Herbert

Case Manager/Care Coordinator

NPI 1023404480
Dr. Steven Tackett-Nelson , MD

Psychiatry & Neurology - Psychiatry

NPI 1245324797

Doctor of Medicine (M.D.)

Sandra Bassett , MN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326232398

MN, Psychiatric-Mental Health Nurse Practitioner

Melissa Haniuk , QMHA

Case Manager/Care Coordinator

NPI 1427445550
Carlene Benson , MSW, LCSW

Social Worker - Clinical

NPI 1528059870

Master of Social Work, Licensed Clinical Social Worker

Patricia Auerbach , RN

Counselor - Mental Health

NPI 1609962844

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2017

Registered at 821 SAGINAW ST S, SALEM, OR 973024121 (Tel: (503) 689-1353)

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Updated Business Mailing Address July 20, 2017

Registered at 821 SAGINAW ST S, SALEM, OR 973024121 (Tel: 5036891353)

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Provider Name / Credentials Updated July 20, 2017

Recorded as KIMBERLY WARNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration July 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194248237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2017
Last Update: July 20, 2017
Deactivation Date: October 02, 2025

Mailing Address

821 Saginaw St S

Salem, OR 973024121

Phone: 5036891353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.