Individual provider Active NPI

Debby Lynn Osborne, RN

  • Registered Nurse
  • Camp Hill, PA
National Provider Identifier
1396409066
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
60195883 Issued in WA
Practice address
30 Hunter LN
Camp Hill, PA 17011-2499
Phone
(801) 787-1600
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 60195883 WA Primary

Addresses

Primary practice location

30 Hunter LN
Camp Hill, PA 17011-2499

Mailing address

20225 Bothell Everett Hwy Apt 138
Bothell, WA 98012-8196
Phone (801) 787-1600

Other names 1

  • Miss Debby Lynn Jackson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RITE.COM Health Information Exchange (HIE) RITE AID OF MARYLAND INC

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
60195883WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1396409066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 BOTHELL EVERETT HWY APT 138",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128196",
            "telephone_number": "801-787-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112499",
            "telephone_number": "801-787-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DEBBY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60195883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RITE.COM",
            "affiliation": "Y",
            "affiliationName": "RITE AID OF MARYLAND INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Newberry Commons",
            "city": "Etters",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173199363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBBY",
            "last_name": "JACKSON",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.