Active NPI
Taylor Ashley Osborne, NP
- Psychiatric/Mental Health Nurse Practitioner
- Montesano, WA
National Provider Identifier
1114660867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60975925
- Practice address
- 141 S Main St
Montesano, WA 98563-3728 - Phone
- (702) 589-4871
- NPI assigned
- Apr 19, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 837620 | TX | |
| Inpatient Obstetric Registered Nurse | 163WX0003X | RN60775126 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | 1017252 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60975925 | WA | Primary |
Addresses
Primary practice location
141 S Main St
Montesano, WA 98563-3728
Mailing address
18320 113TH Ave E
Puyallup, WA 98374-8855
Phone (713) 550-6247
Other names 1
- Taylor Ashley Self
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837620 | TX | MD | Inpatient Obstetric Registered Nurse |
| RN60775126 | WA | MD | Inpatient Obstetric Registered Nurse |
| AP60975925 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1017252 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Solutions Wa PC | Current | Accepting new patients |
Locations
115 NE 100th St
Ste 300
Seattle, WA 98125
620 N Emerson Ave
Ste 300
Wenatchee, WA 98801
Phone (509) 662-1302
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- taylor.osborne.1@30395.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Mindful Health Solutions
- Psychiatry Physician
- Seattle, WA
- NPI 1417692740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1114660867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18320 113TH AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748855",
"telephone_number": "713-550-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S MAIN ST",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985633728",
"telephone_number": "702-589-4871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "TAYLOR",
"middle_name": "ASHLEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-08-16",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "TX",
"license": "837620",
"primary": false
},
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "WA",
"license": "RN60775126",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1017252",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60975925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "SELF",
"middle_name": "ASHLEY",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.