Deirdre Lynn Mims Kasberger, BS SOCIOLOGY

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

19 SW Century Dr
Bend, OR 97702-1048

Phone

(541) 389-1409

Fax

(541) 389-9348

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J Bar J Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bend, OR
  • NPI 1114357308
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1245015577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62895 HAMBY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019575",
            "telephone_number": "541-389-1409",
            "fax_number": "541-389-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SW CENTURY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021048",
            "telephone_number": "541-389-1409",
            "fax_number": "541-389-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASBERGER",
        "first_name": "DEIRDRE",
        "middle_name": "LYNN MIMS",
        "credential": "BS SOCIOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azure Karli, ND
• Julie Karlsen, NP-C
• James Roy Karmy, MD
• Megan Kristine Karnopp, MD
• Jessica Karriker
• Mariya Kasow, MS, LPC
• Kelsie Kasper, RN
• Rob Kassan, MD
• Deona J Kasten-Stubbs, FNP
• Katherine Keating

• Case Management Agency in Bend, OR
• Providers in Bend, OR by specialty
• Case Management Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.