Monique Antonia Osborne, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024190635 Issued in VA

Practice address

615 Emancipation Hwy Ste 101
Fredericksburg, VA 22401-8407

Phone

(917) 803-3536

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1154168128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 BOWLING FARM CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077217",
            "telephone_number": "917-803-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 EMANCIPATION HWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018407",
            "telephone_number": "917-803-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MONIQUE",
        "middle_name": "ANTONIA",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Osafoh, FNP-BC
• Kimberly Gregory Osam, MS, CF-SLP
• Grace Crawford Osborn Kopesky, BSN, RN
• Erik Charles Osborn, MD
• Kelly Schrock Osborne, CPNP
• Sabina Oseku-Afful, NP
• Tahanie Osman, M.D
• Osullivan Pathology PLLC
• Daniel Oteng, MD
• Scott Robert Ottolini, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.

Verify at the official NPI Registry.