Individual provider Active NPI

Favor Osakwe, PMHNP-BC, FNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1194248666
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP134340 Issued in TX
Practice address
400 S Jefferson St Ste 204
Spokane, WA 99204-3142
Phone
(862) 764-9619
Fax
(832) 585-1651
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134340 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP134340 TX Primary

Addresses

Primary practice location

400 S Jefferson St Ste 204
Spokane, WA 99204-3142

Mailing address

400 S Jefferson St Ste 204
Spokane, WA 99204-3142
Phone (862) 764-9619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP134340TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Behavioral Health Current Accepting new patients

Locations

719 Sawdust Rd
Ste 112
Spring, TX 77380
Phone (713) 300-4643

930 N Mullan Rd
Ste 1
Spokane Valley, WA 99206
Phone (509) 596-1174

Interoperability endpoints

  • Direct secure messaging: favor.osakwe.1@11939.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1194248666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043142",
            "telephone_number": "862-764-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043142",
            "telephone_number": "862-764-9619",
            "fax_number": "832-585-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAKWE",
        "first_name": "FAVOR",
        "credential": "PMHNP-BC, FNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134340",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP134340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.