Active NPI
Amanda Eve Osburn, S.T.N.A.
- Home Health Aide
- Conneaut, OH
National Provider Identifier
1063540896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2554865
- Practice address
- 402 Broad St
Conneaut, OH 44030-2408 - Phone
- (440) 344-3078
- Fax
- (440) 599-7339
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2554865 | OH | Primary |
Addresses
Primary practice location
402 Broad St
Conneaut, OH 44030-2408
Mailing address
PO Box 755
Conneaut, OH 44030-0755
Phone (440) 344-3078
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2554865 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063540896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440300755",
"telephone_number": "440-344-3078",
"fax_number": "440-599-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 BROAD ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302408",
"telephone_number": "440-344-3078",
"fax_number": "440-599-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "AMANDA",
"middle_name": "EVE",
"name_prefix": "Ms.",
"credential": "S.T.N.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2554865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.