Dikeeshea Witherspoon, CRM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1952 SE 122ND Ave
Portland, OR 97233-1304

Phone

(503) 726-3690

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lifeworks Northwest

  • Case Management Agency
  • Portland, OR
  • NPI 1336516392
  NPD (past)
• New Narrative

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tigard, OR
  • NPI 1265595664
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1619518438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331304",
            "telephone_number": "503-726-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331304",
            "telephone_number": "503-726-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4941 NE 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972115709",
            "country_code": "US",
            "telephone_number": "503-282-3296 x2506",
            "fax_number": "503-282-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "DIKEESHEA",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• With the Flow Psychotherapy, LLC
• Carolyn Marie Withee, DO
• Rebecca Witherow, LCSW
• April Katelle Withers, APRN
• Brenna Witherspoon
• Cornelia Withington, M.D.
• Ariel Witkin, PT
• Martyna Witkowska
• Alexander Michael Witkowski, MD, PHD
• Theresa Witkowski

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.