Individual provider Active NPI

Laci Osman

  • Licensed Practical Nurse
  • Alma, AR
National Provider Identifier
1508412354
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L057588 Issued in AR
Practice address
1036 Highway 64 E
Alma, AR 72921-6807
Phone
(479) 632-3813
Fax
(479) 632-8986
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L057588 AR Primary

Addresses

Primary practice location

1036 Highway 64 E
Alma, AR 72921-6807

Mailing address

PO Box 2389
Alma, AR 72921-2389
Phone (479) 632-3813

Other identifiers 1

IdentifierTypeStateIssuer
101904724MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.steppingstonearkansas.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L057588ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge, Inc PastSince Aug 18, 2019 Accepting new patients
Stepping Stone School for Exceptional Children,Inc PastSince Aug 18, 2019 Accepting new patients

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1508412354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2389",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729212389",
            "telephone_number": "479-632-3813",
            "fax_number": "479-632-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 HIGHWAY 64 E",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729216807",
            "telephone_number": "479-632-3813",
            "fax_number": "479-632-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "LACI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L057588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101904724",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.steppingstonearkansas.com",
            "affiliation": "N",
            "address_1": "1036 Highway 64 E",
            "city": "Alma",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729216807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alma, AR

Sources for this page

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