Active NPI
Candice Lee Osborne, OTR
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1366617912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112581
- Practice address
- 436 Broadway
#415
Tacoma, WA 98402-3908 - Phone
- (214) 794-9773
- NPI assigned
- Apr 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112581 | TX | Primary |
Addresses
Primary practice location
436 Broadway
#415
Tacoma, WA 98402-3908
Mailing address
436 Broadway
#415
Tacoma, WA 98402-3908
Phone (214) 794-9773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112581 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1366617912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 BROADWAY",
"address_2": "#415",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023908",
"telephone_number": "214-794-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 BROADWAY",
"address_2": "#415",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023908",
"telephone_number": "214-794-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "CANDICE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.