Individual provider Active NPI

Lisa Osborne, CRNP

  • Family Nurse Practitioner
  • Attalla, AL
National Provider Identifier
1285065078
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1117921 Issued in AL
Practice address
420 4TH St NW
Attalla, AL 35954-2227
Phone
(256) 690-0434
Fax
(256) 376-8102
NPI assigned
Dec 5, 2013
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1117921 AL Primary

Addresses

Primary practice location

420 4TH St NW
Attalla, AL 35954-2227

Mailing address

1126 McVille Rd
Boaz, AL 35957-6029
Phone (256) 558-5480

Other practice location 1

1126 McVille Rd
Boaz, AL 35957-6029
Phone (256) 558-5480

Other practice location 2

9511 US Highway 431
Albertville, AL 35950-0128
Phone (256) 891-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708002504 AL Practitioner - Nurse Practitioner 6002031952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inceptivia Health and Wellness LLCGroup PAC ID 3971969908, 2 clinicians

Practice addresses (Care Compare)

404 4TH St NW
Attalla, AL 35954-2227
Phone (256) 344-5049

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1117921ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Eufaula, LLC CurrentSince Feb 18, 2024 Accepting new patients
American Family Care, LLC CurrentSince Aug 16, 2022 Accepting new patients
American Family Care, LLC CurrentSince Aug 16, 2022 Accepting new patients
Inceptivia Health & Wellness LLC CurrentSince Dec 30, 2022 Accepting new patients
Keel and Associates PastSince Sep 15, 2012 Accepting new patients

Locations

404 4th St NW
Attalla, AL 35954
Phone (256) 344-5049

420 4th St NW
Attalla, AL 35954
Phone (256) 344-5049

1841 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 297-2548

2604 Highway 31 S
Decatur, AL 35603
Phone (256) 445-3050

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFFBDD
  • Direct secure messaging: losborne@ud-al.direct.office.nextgen.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1285065078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MCVILLE RD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359576029",
            "telephone_number": "256-558-5480",
            "fax_number": "256-376-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 4TH ST NW",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359542227",
            "telephone_number": "256-690-0434",
            "fax_number": "256-376-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 McVille Rd",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359576029",
            "country_code": "US",
            "telephone_number": "256-558-5480",
            "fax_number": "256-376-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9511 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359500128",
            "country_code": "US",
            "telephone_number": "256-891-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1117921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attalla, AL

Sources for this page

Verify at the official NPI Registry.