Individual provider Active NPI

Bridget Ota Osayi

  • Licensed Practical Nurse
  • Upper Darby, PA
National Provider Identifier
1104535699
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN267208 Issued in PA
Practice address
23 Berbro Ave Uppr
Upper Darby, PA 19082-2001
Phone
(215) 796-2452
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN267208 PA Primary

Addresses

Primary practice location

23 Berbro Ave Uppr
Upper Darby, PA 19082-2001

Mailing address

23 Berbro Ave Uppr
Upper Darby, PA 19082-2001
Phone (215) 796-2452

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

LicenseStateTypeSpecialty
PN267208PAMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1104535699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BERBRO AVE UPPR",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822001",
            "telephone_number": "215-796-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BERBRO AVE UPPR",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822001",
            "telephone_number": "215-796-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAYI",
        "first_name": "BRIDGET",
        "middle_name": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN267208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.