Demetric Shante Osborn, DNP, MSN-ED, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

247965 Issued in TN

Practice address

5276 Beagle TRL
Bartlett, TN 38002-5960

Phone

(662) 567-7407

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1316661150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MONROE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043110",
            "telephone_number": "866-575-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5276 BEAGLE TRL",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380025960",
            "telephone_number": "662-567-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "DEMETRIC",
        "middle_name": "SHANTE",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN-ED, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TN",
            "license": "247965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opd TN 3 LLC
• Optum Behavioral Care of North Carolina, PC
• Keith James Orr
• Ortho Sport & Spine Physicians Memphis
• Orthotic & Prosthetic Clinics of America Memphis LLC
• Our House Too Adult Day Services LLC
• Keith Bennett Owen, MD
• Suzanna Victoria Owens, LPC/MHSP/NCC
• Toya Owens
• Cassady Ozanich, OTR/L

• School Registered Nurse in Bartlett, TN
• Providers in Bartlett, TN by specialty
• School Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.