Active NPI
Anita Marie Osburn
- Registered Dietitian
- Pulaski, VA
National Provider Identifier
1073720298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2400 Lee Hwy N
Pulaski, VA 24301-2326 - Phone
- (540) 994-8561
- Fax
- (540) 994-8243
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2400 Lee Hwy N
Pulaski, VA 24301-2326
Mailing address
288 Crimson LN
Max Meadows, VA 24360-3845
Phone (276) 637-6677
Other names 1
- Anita Osburn
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": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073720298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 CRIMSON LN",
"city": "MAX MEADOWS",
"state": "VA",
"postal_code": "243603845",
"telephone_number": "276-637-6677",
"fax_number": "540-994-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LEE HWY N",
"city": "PULASKI",
"state": "VA",
"postal_code": "243012326",
"telephone_number": "540-994-8561",
"fax_number": "540-994-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "ANITA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "OSBURN",
"credential": "RD, CDE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pulaski, VA
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.