Active NPI
Tiffany Shea Osburn, M.D.
- Pediatrics Physician
- Lubbock, TX
National Provider Identifier
1245423342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A118695
- Practice address
- 4015 22ND PL
Lubbock, TX 79410-1119 - Phone
- (806) 725-6000
- Fax
- (806) 723-7753
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | N1751 | TX | |
| Pediatrics Physician | 208000000X | A118695 | CA | Primary |
| Pediatrics Physician | 208000000X | N1751 | TX |
Addresses
Primary practice location
4015 22ND PL
Lubbock, TX 79410-1119
Mailing address
PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-2898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245423342 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1751 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Pediatrics | Current | Accepting new patients |
| Valley Children'S Hospital | Past | Accepting new patients | |
| Methodist Children'S Hospital | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Locations
3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188
4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000
Interoperability endpoints
- sosburn15858@valleychildrens-prd.direct-ci.com
- tiffany.madrid@direct.myteamcare.com
Organizations & group practices 6
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.
-
- Anatomic Pathology Physician
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- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1053458026
-
- Pediatrics Physician
- Lubbock, TX
- NPI 1972552263
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
- Children's Hospital
- Madera, CA
- NPI 1700949336
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1245423342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27476",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270476",
"telephone_number": "806-743-2898",
"fax_number": "806-743-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101119",
"telephone_number": "806-725-6000",
"fax_number": "806-723-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "TIFFANY",
"middle_name": "SHEA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "N1751",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A118695",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N1751",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245423342",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.