Individual provider Active NPI

Taylor Ashley Osborne, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montesano, WA
National Provider Identifier
1114660867
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60975925 Issued in WA
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

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107002379 WA Practitioner - Nurse Practitioner 5799152625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
837620TXMDInpatient Obstetric Registered Nurse
RN60775126WAMDInpatient Obstetric Registered Nurse
AP60975925WAMDPsychiatric/Mental Health Nurse Practitioner
1017252TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions Wa PC CurrentSince May 22, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.