Organization Active NPI

Tracey Osborne Professional Services

  • Adult Health Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1437961778
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
TRACEY OSBORNE PROFESSIONAL SERVICES
Doing business as
Tracey Osborne, CNP
Practice address
1100 New York Ave Ste B
Alamogordo, NM 88310-6924
Phone
(575) 488-3248
Fax
(575) 488-3249
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Tracey Marie Osborne, CNPNPI 1346411683
Title
CNP/Owner
Phone
(505) 400-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

1100 New York Ave Ste B
Alamogordo, NM 88310-6924

Mailing address

PO Box 543
La Luz, NM 88337-0543
Phone (575) 488-3248

Other names 1

  • Tracey Osborne, CNP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250220004073 NM Part B Supplier - Clinic/Group Practice 4789104720 Receives reassigned benefits from 1 practitioner
Practice locations: Alamogordo, NM

National Provider Directory

National Provider Directory

Locations

1100 New York Ave
Ste B
Alamogordo, NM 88310
Phone (575) 488-3248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1437961778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "LA LUZ",
            "state": "NM",
            "postal_code": "883370543",
            "telephone_number": "575-488-3248",
            "fax_number": "575-488-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEW YORK AVE STE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106924",
            "telephone_number": "575-488-3248",
            "fax_number": "575-488-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY OSBORNE PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CNP/OWNER",
        "authorized_official_telephone_number": "505-400-0488",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracey Osborne, CNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.