Individual provider Active NPI

Patricia Goad Osborne, FNP-BC

  • Family Nurse Practitioner
  • Hillsville, VA
National Provider Identifier
1043646904
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170673 Issued in VA
Practice address
702 Pine St
Hillsville, VA 24343-1405
Phone
(276) 728-4311
Fax
(276) 728-0901
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170673 VA Primary

Addresses

Primary practice location

702 Pine St
Hillsville, VA 24343-1405

Mailing address

702 Pine St
Hillsville, VA 24343-1405
Phone (276) 728-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140307000630 VA Practitioner - Nurse Practitioner 0547490773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

702 Pine St
Hillsville, VA 24343-1405
Phone (276) 728-4311

961 E Stuart Dr
Galax, VA 24333-2407
Phone (276) 238-0439

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170673VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Dec 8, 2013 Accepting new patients
DLP Twin County Physician Practices LLC Family CurrentSince Dec 8, 2013 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
DLP Twin County Physician Practices LLC Past Accepting new patients

Locations

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

702 Pine St
Hillsville, VA 24343
Phone (276) 728-4311

Organizations & group practices 4

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1043646904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PINE ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431405",
            "telephone_number": "276-728-4311",
            "fax_number": "276-728-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PINE ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431405",
            "telephone_number": "276-728-4311",
            "fax_number": "276-728-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "PATRICIA",
        "middle_name": "GOAD",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

Verify at the official NPI Registry.