Active NPI
Evbu Evely Osunde, RN, BSN, FNP
- Family Nurse Practitioner
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP135759
- Practice address
- 1115 E Arkansas Lane
Suite B
Arlington, TX 76010 - Phone
- (817) 385-9799
- Fax
- (817) 385-9881
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP135759 | TX | Primary |
Addresses
Primary practice location
1115 E Arkansas Lane
Suite B
Arlington, TX 76010
Mailing address
2213 Murphy Dr Apt 1916
Bedford, TX 76021-5976
Phone (972) 352-1764
Other practice location 1
1300 W Walnut Hill Ln
Irving, TX 75038-3000
Phone (469) 215-2555
Other practice location 2
2925 Skyway Cir N
Irving, TX 75038-3510
Phone (972) 791-8211
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171213000945 | TX | Practitioner - Nurse Practitioner | 7618235052 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1148 W Pioneer Pkwy
Suite F
Arlington, TX 76013-6385
Phone (972) 352-1764
2384 Hwy 287 N
Suite 216
Mansfield, TX 76063-9207
Phone (817) 400-0433
Hospital & facility affiliations
- Unicare Home Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 8.6 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 28.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135759 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Medical Services PLLC | Family | Current | Accepting new patients |
| Royal Haven Medical | Current | Accepting new patients | |
| Gold Behavioral Health Services PLLC | Current | Accepting new patients |
Locations
1148 W Pioneer Pkwy
Ste F
Arlington, TX 76013
Phone (972) 352-1764
2384 Highway 287 N
Ste 216
Mansfield, TX 76063
Phone (682) 400-8577
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Arlington, TX
- NPI 1578436903
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tyler, TX
- NPI 1164488334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1538679147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 MURPHY DR APT 1916",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215976",
"telephone_number": "972-352-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E ARKANSAS LANE",
"address_2": "SUITE B",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76010",
"telephone_number": "817-385-9799",
"fax_number": "817-385-9881"
}
],
"practiceLocations": [
{
"address_1": "1300 W Walnut Hill Ln",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750383000",
"country_code": "US",
"telephone_number": "469-215-2555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 Skyway Cir N",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750383510",
"country_code": "US",
"telephone_number": "972-791-8211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSUNDE",
"first_name": "EVBU",
"middle_name": "EVELY",
"credential": "RN, BSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.