Individual provider Active NPI

Eartha Jackson Osborne, L. V. N.

  • Licensed Vocational Nurse
  • Austin, TX
National Provider Identifier
1215106927
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
127237 Issued in TX
Practice address
8225 Ranch Rd 620 N Apt 2112
Austin, TX 78726-4170
Phone
(512) 373-8229
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 127237 TX Primary

Addresses

Primary practice location

8225 Ranch Rd 620 N Apt 2112
Austin, TX 78726-4170

Mailing address

8225 Ranch Rd.
FM 620 N. Apt. # 2112
Austin, TX 78726-4170
Phone (512) 373-8229

Other identifiers 1

IdentifierTypeStateIssuer
001002501OtherTXMDCP

Other names 1

  • Ms. Eartha Osborne Johnson Former name

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

State licenses

LicenseStateTypeSpecialty
127237TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1215106927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 RANCH RD.",
            "address_2": "FM 620 N. APT. # 2112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264170",
            "telephone_number": "512-373-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 RANCH RD 620 N APT 2112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264170",
            "telephone_number": "512-373-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "EARTHA",
        "middle_name": "JACKSON",
        "name_prefix": "Ms.",
        "credential": "L. V. N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "127237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCP",
            "identifier": "001002501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARTHA",
            "last_name": "JOHNSON",
            "middle_name": "OSBORNE",
            "prefix": "MS.",
            "credential": "L.V.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.