Active NPI
Briana Osbon
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1073970208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 39892
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-2121
- NPI assigned
- Jan 19, 2016
- Last updated
- Jun 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-34943 | ID | |
| Clinical Social Worker | 1041C0700X | 39892 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 190930
Boise, ID 83719-0930
Other practice location 1
3402 Franklin Rd
Caldwell, ID 83605-6932
Phone (208) 459-0092
Other names 1
- Briana Gilligan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | None |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-34943 | ID | MD | Social Worker |
| 39892 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Clinical | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1073970208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-2121"
}
],
"practiceLocations": [
{
"address_1": "3402 Franklin Rd",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836056932",
"country_code": "US",
"telephone_number": "208-459-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBON",
"first_name": "BRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-34943",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "39892",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "None",
"affiliation": "N",
"address_1": "3402 Franklin Rd",
"city": "Caldwell",
"state": "ID",
"country_code": "US",
"postal_code": "836056932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRIANA",
"last_name": "GILLIGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.