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Deactivated NPI 1245083740 Deactivated / Inactive NPI Female Practitioner

Keasha Odom

Case Management • Milwaukee, WI

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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, Keasha Odom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2024
NPI Deactivation Date July 09, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Keasha Odom was a registered Case Management practicing in Milwaukee, WI. Throughout an active medical career spanning 1 years, Keasha Odom provided care at the practice location at 4701 W BRENTWOOD AVE until profile deactivation on 2024-07-09.

Practice Location & Contact Primary Location

Practice Address

4701 W Brentwood Ave

Milwaukee, WI 532236023

Telephone 4147779311
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Management in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Milwaukee, WI (52 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 Management Primary Specialty

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

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 July 09, 2024

Record deactivated on July 09, 2024

NPI Profile Active April 08, 2024

NPI status registered as active in NPPES database

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Updated Practice Location April 08, 2024

Registered at 4701 W BRENTWOOD AVE, MILWAUKEE, WI 532236023 (Tel: 4147779311)

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Updated Business Mailing Address April 08, 2024

Registered at 4701 W BRENTWOOD AVE, MILWAUKEE, WI 532236023 (Tel: 4147779311)

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Provider Name / Credentials Updated April 08, 2024

Recorded as KEASHA ODOM

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Case Management

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Initial NPI Registration & Enumeration April 08, 2024

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: 1245083740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2024
Last Update: April 08, 2024
Deactivation Date: July 09, 2024

Mailing Address

4701 W Brentwood Ave

Milwaukee, WI 532236023

Phone: 4147779311

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.