Individual provider Active NPI

Mary Elaine M Osborne

  • Audiologist
  • Morgan City, LA
National Provider Identifier
1326076720
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4239 Issued in LA
Practice address
1100 N Victor II Blvd
Morgan City, LA 70380-1331
Phone
(985) 385-4327
Fax
(985) 385-1988
NPI assigned
Jun 28, 2006
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4239 LA Primary
Speech/Language/Hearing Specialist/Technologist 235500000X 4239 LA

Addresses

Primary practice location

1100 N Victor II Blvd
Morgan City, LA 70380-1331

Mailing address

1100 N Victor II Blvd
Morgan City, LA 70380-1331
Phone (985) 385-4327

Other identifiers 2

IdentifierTypeStateIssuer
4239OtherLASTATE LICENSE NUMBER
1544612MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022001332 LA Practitioner - Qualified Audiologist 2769675610 Practice locations: Houma, LA; Morgan City, LA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 N Victor II Blvd
Morgan City, LA 70380-1331
Phone (985) 385-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4239LAMDSpeech/Language/Hearing Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E. McCleary-Brooks Dba the Hearing Center Audiologist PastSince Mar 1, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1326076720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N VICTOR II BLVD",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801331",
            "telephone_number": "985-385-4327",
            "fax_number": "985-385-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N VICTOR II BLVD",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801331",
            "telephone_number": "985-385-4327",
            "fax_number": "985-385-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MARY",
        "middle_name": "ELAINE M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "4239",
            "primary": true
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "LA",
            "license": "4239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4239",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544612",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.