Active NPI
Jacob Dylan Osborn
- School Social Worker
- Lincoln, NE
National Provider Identifier
1063139624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 5905 O St
Lincoln, NE 68510-2235 - Phone
- (402) 436-1000
- NPI assigned
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | NE | Primary |
Addresses
Primary practice location
5905 O St
Lincoln, NE 68510-2235
Mailing address
5905 O St
Lincoln, NE 68510-2235
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Health Information Exchange (HIE) | Lincoln Public Schools |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1063139624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102235",
"telephone_number": "402-436-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "JACOB",
"middle_name": "DYLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Lincoln Public Schools",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5905 O St",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685102235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.