Individual provider Active NPI

Helen O Osonowo

  • Family Nurse Practitioner
  • Crystal, MN
National Provider Identifier
1407491178
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6379 Issued in MN
Practice address
5724 Bass Lake Rd
Crystal, MN 55429-2747
Phone
(763) 561-3434
Fax
(612) 314-8840
NPI assigned
Nov 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6379 MN Primary

Addresses

Primary practice location

5724 Bass Lake Rd
Crystal, MN 55429-2747

Mailing address

10643 Welcome Bay N
Brooklyn Park, MN 55443-3268
Phone (612) 207-5691

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6379MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Manor Inc CurrentSince Apr 12, 2020 Accepting new patients

Locations

2200 Park Ave
Minneapolis, MN 55404
Phone (612) 702-7412

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1407491178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10643 WELCOME BAY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433268",
            "telephone_number": "612-207-5691",
            "fax_number": "763-425-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292747",
            "telephone_number": "763-561-3434",
            "fax_number": "612-314-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSONOWO",
        "first_name": "HELEN",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-16",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.