Individual provider Active NPI

Destiny Marie Osogu, APRN

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1497419477
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021037839 Issued in TX
Practice address
4602 67TH St
Lubbock, TX 79414-5002
Phone
(806) 725-4115
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 2021037839 TX Primary

Addresses

Primary practice location

4602 67TH St
Lubbock, TX 79414-5002

Mailing address

2730 E Colgate St
Lubbock, TX 79403-3604
Phone (806) 559-0700

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
I20220127001262 TX Practitioner - Nurse Practitioner 2769874569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Care 2 U, LLCGroup PAC ID 7012344807, 29 clinicians

Practice addresses (Care Compare)

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293
Phone (877) 868-2528

Hospital & facility affiliations

  • Umc Home Health and Hospice, an Amedisys Partner Home health agency, Lubbock, TX, CCN 748008
  • Trio Home Health Care Inc Home health agency, Corpus Christi, TX, CCN 678428
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021037839TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Neurology Clinic LLC CurrentSince Feb 28, 2022 Accepting new patients
Total Care 2 U, LLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

4602 67th St
Lubbock, TX 79414
Phone (806) 725-4115

1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1497419477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 E COLGATE ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794033604",
            "telephone_number": "806-559-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 67TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145002",
            "telephone_number": "806-725-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOGU",
        "first_name": "DESTINY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2021037839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.