One Source Medical

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30003917 Issued in WA

Legal business name

ONE SOURCE MEDICAL

Practice address

18730 33Rd Ave W
Lynnwood, WA 98037-4756

Phone

(425) 774-8600

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Cory Osborne, D.C.

Title

Owner

Phone

(425) 780-0310

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Delucchi, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1730533464
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1225497233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18730 33RD AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374756",
            "telephone_number": "425-774-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18730 33RD AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374756",
            "telephone_number": "425-774-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-780-0310",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60207940",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9618364",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oncken Counseling Services
• Gerald R Oncken, PHD, RC
• Ross Michael Ondersma, MD
• One Family Chiropractic Clinic
• One Family Wellness Clinic LLC (Lynnwood Chiropractic & Injury Center)
• One World Nutrtional Services Inc.
• Options Treatment and Evaluations Inc
• Gloria Orias
• Sarah Nicole Ormonde-Rodriguez
• Leslie Orr, LMHC, SUDPT

• Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.