Individual provider Active NPI

Ethan Frederick Osburn, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1144136862
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7340 Issued in TN
Practice address
2004 Hayes St Ste 200
Nashville, TN 37203-2689
Phone
(615) 324-1600
NPI assigned
Aug 21, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7340 TN Primary

Addresses

Primary practice location

2004 Hayes St Ste 200
Nashville, TN 37203-2689

Mailing address

6228 Nolensville Pike Unit 1-224
Nashville, TN 37211-7480

Other practice location 1

2001 Woodmont Blvd
Nashville, TN 37215-1588
Phone (615) 324-1600

Other practice location 2

5021 Carothers Pkwy
Franklin, TN 37067-6034
Phone (615) 324-1600

Other practice location 3

1001 Health Park Dr Ste 220
Brentwood, TN 37027-5745
Phone (615) 324-1600

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": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1144136862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 NOLENSVILLE PIKE UNIT 1-224",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032689",
            "telephone_number": "615-324-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Woodmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372151588",
            "country_code": "US",
            "telephone_number": "615-324-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5021 Carothers Pkwy",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676034",
            "country_code": "US",
            "telephone_number": "615-324-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Health Park Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275745",
            "country_code": "US",
            "telephone_number": "615-324-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "ETHAN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "7340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.