Shebna Nwayobuije Osanmoh I, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144489 Issued in TX

Practice address

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183

Phone

(469) 946-7897

Fax

(650) 590-4938

NPI assigned

Jan 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Savant Care IncGroup PAC ID 8325363989, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Savant Care Inc

  • Community/Behavioral Health Agency
  • Los Altos, CA
  • NPI 1932511243

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Egalitarian Hospice of Texas Inc

  • Community Based Hospice Care Agency
  • Justin, TX
  • NPI 1265059521
  NPD
• Savant Systems Inc.

  • Psychiatry Physician
  • Los Altos, CA
  • NPI 1396297891

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1376183442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 WAVECREST LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762081129",
            "telephone_number": "901-569-9715",
            "fax_number": "940-218-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "469-946-7897",
            "fax_number": "650-590-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3432 Wavecrest Ln",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762081129",
            "country_code": "US",
            "telephone_number": "901-569-9715",
            "fax_number": "940-218-6184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Capitol Mall Ste 2350",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958144760",
            "country_code": "US",
            "telephone_number": "916-745-8199",
            "fax_number": "650-590-4938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSANMOH",
        "first_name": "SHEBNA",
        "middle_name": "NWAYOBUIJE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144489",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95016098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open-Heaven Medical Supply LLC
• Oral and Facial Surgery of North Texas
• Orchid Counseling PLLC
• Alba Ortega I
• Orthofix US LLC
• Jaycie Kayle Osborne
• Anita Osiebo
• Nicole Osimiri
• Oto-HNS
• Kirsten Otsuji, FNP

• Psychiatric/Mental Health Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.