Individual provider Active NPI

Geoffrey Thomas Osmond, NP

  • Nurse Practitioner
  • Draper, UT
National Provider Identifier
1053994434
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5641076-4405 Issued in UT
Practice address
11760 S 700 E Ste 112
Draper, UT 84020-6605
Phone
(801) 572-1186
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5641076-4405 UT
Nurse Practitioner 363L00000X 5641076-4405 UT Primary

Addresses

Primary practice location

11760 S 700 E Ste 112
Draper, UT 84020-6605

Mailing address

6082 W Cedar Fork Dr
West Jordan, UT 84081-5746
Phone (801) 318-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210525002953 UT Practitioner - Nurse Practitioner 5890194757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain PLLCGroup PAC ID 4183966278, 9 clinicians

Practice addresses (Care Compare)

1209 N Main St
Suite B
Tooele, UT 84074-9841
Phone (801) 572-1186

96 E Kimballs LN
Suite 408
Draper, UT 84020-5021
Phone (801) 572-1186

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5641076-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince May 1, 2021 Accepting new patients
Advanced Spine and Pain PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

96 E Kimballs Ln
Ste 408
Draper, UT 84020
Phone (801) 572-1186

11760 S 700 E
Ste 112
Draper, UT 84020
Phone (801) 572-1186

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

1209 N Main St
#B
Tooele, UT 84074
Phone (801) 572-1186

576 E Highway 138
Ste 210
Tooele, UT 84074
Phone (435) 200-1208

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3590 W 9000 S
Ste 120
West Jordan, UT 84088
Phone (801) 208-1075

Interoperability endpoints

  • Direct secure messaging: advancedspineandpain.geoffreyosmond@150329.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1053994434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 W CEDAR FORK DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815746",
            "telephone_number": "801-318-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S 700 E STE 112",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206605",
            "telephone_number": "801-572-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMOND",
        "first_name": "GEOFFREY",
        "middle_name": "THOMAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5641076-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "5641076-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.