Individual provider Active NPI

Fadumo Abdi Osman

  • Psychiatric/Mental Health Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1417639378
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0034539 Issued in OH
Practice address
5601 Farmhouse LN
Hilliard, OH 43026-7848
Phone
(614) 499-7188
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0034539 OH Primary

Addresses

Primary practice location

5601 Farmhouse LN
Hilliard, OH 43026-7848

Mailing address

5601 Farmhouse LN
Hilliard, OH 43026-7848
Phone (614) 499-7188

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20231208002490 OH Practitioner - Nurse Practitioner 5799134284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dublin Springs Physician Group LLCGroup PAC ID 1850511379, 10 clinicians
Brightlife Behavioral Health LLCGroup PAC ID 3779014055, 3 clinicians

Practice addresses (Care Compare)

2085 Citygate Dr
Columbus, OH 43219-3656
Phone (614) 300-9100

700 Bryden Rd
Suite 122
Columbus, OH 43215-4839
Phone (614) 681-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0034539OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightlife Behavioral Health LLC CurrentSince Jan 19, 2025 Accepting new patients
Dublin Springs Physician Group, LLC Psychiatric/Mental Health CurrentSince Nov 8, 2023 Accepting new patients

Locations

4801 Olympia Park Plz
Ste 1000
Louisville, KY 40241

700 Bryden Rd
Ste 122
Columbus, OH 43215
Phone (614) 681-0012

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

Organizations & group practices 2

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1417639378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 FARMHOUSE LN",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267848",
            "telephone_number": "614-499-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 FARMHOUSE LN",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267848",
            "telephone_number": "614-499-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "FADUMO",
        "middle_name": "ABDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0034539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.