Treva M. Osborne, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Practice address

112 Painter St
Galax, VA 24333-3828

Phone

(276) 236-2994

Fax

(276) 238-8762

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Galax Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Galax, VA
  • NPI 1972601193
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174749022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PAINTER ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333828",
            "telephone_number": "276-236-2994",
            "fax_number": "276-238-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PAINTER ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333828",
            "telephone_number": "276-236-2994",
            "fax_number": "276-238-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TREVA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrick Norman, LPTA
• Novant Medical Group, Inc
• Susan Frances O'Connor, DDS
• Oldtown Medical Care, LLC
• Steven P Olson, MD
• Woodrow Edward Pack Jr.
• Zachary Lee Page, FNP
• Michael Roy Painter
• Byron Clifton Palmer, DDS
• Katrina Bolt Parks, MSN, NP-C

• All providers in Galax, VA
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.