Tynesha Oden

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

402 Skyline View Dr
Collinsville, IL 62234-6043

Phone

(618) 799-5621

NPI assigned

May 1, 2020

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

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1891316733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SKYLINE VIEW DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346043",
            "telephone_number": "618-799-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SKYLINE VIEW DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346043",
            "telephone_number": "618-799-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "TYNESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Nicosia
• Candace Lynn Noonan, MS SLP
• Natasha Savina Noronha
• Sarah Grace O'Grady, M.D.
• Laura O'Hara, PHD, CCC-SLP
• Steven Ogle, RPH
• Tara Ojeda, RN
• One Hope United
• Kelly Ann Ottensmeier, LCPC
• Susan R. Parsons, D.O.

• Case Manager/Care Coordinator in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.