Individual provider Active NPI

Ivie Osa

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1487363289
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1114992 Issued in TX
Practice address
9711 S Mason Rd Ste 125-380
Richmond, TX 77407-7167
Phone
(346) 586-6935
Fax
(346) 586-7001
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0102750-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 77156 NM
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X RN10015521 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1114992 TX Primary

Addresses

Primary practice location

9711 S Mason Rd Ste 125-380
Richmond, TX 77407-7167

Mailing address

9711 S Mason Rd Ste 125-380
Richmond, TX 77407-7167
Phone (346) 586-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230522003206 TX Practitioner - Nurse Practitioner 4880050525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8603 Marble Terrace CT
Richmond, TX 77407-1203
Phone (214) 853-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0102750-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
RN10015521MAMDPsychiatric/Mental Health Nurse Practitioner
77156NMMDPsychiatric/Mental Health Nurse Practitioner
1114992TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Psychstep Multi-Specialty CurrentSince Oct 28, 2023 Accepting new patients
Starbranch Psychiatry Associates Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Psychstep Residential LLC CurrentSince Nov 1, 2022 Accepting new patients
US Multi-Specialty Group Multi-Specialty PastSince Jun 2, 2021 Accepting new patients

Locations

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

2600 Gessner Rd
Ste 280
Houston, TX 77080
Phone (713) 468-6538

9711 S Mason Rd
Ste 125380
Richmond, TX 77407
Phone (346) 586-6935

Organizations & group practices 5

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1487363289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD STE 125-380",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077167",
            "telephone_number": "346-586-6935",
            "fax_number": "346-586-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD STE 125-380",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077167",
            "telephone_number": "346-586-6935",
            "fax_number": "346-586-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSA",
        "first_name": "IVIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0102750-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "77156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN10015521",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1114992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.