Active NPI
Heather Osenga
- Other Technician
- Hailey, ID
National Provider Identifier
1548623366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1411 Blue Lake Dr
Hailey, ID 83333-4601 - Phone
- (208) 481-1029
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | ID | Primary |
Addresses
Primary practice location
1411 Blue Lake Dr
Hailey, ID 83333-4601
Mailing address
PO Box 4601
Hailey, ID 83333-4601
Phone (208) 481-1029
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1548623366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4601",
"city": "HAILEY",
"state": "ID",
"postal_code": "833334601",
"telephone_number": "208-481-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 BLUE LAKE DR",
"city": "HAILEY",
"state": "ID",
"postal_code": "833334601",
"telephone_number": "208-481-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSENGA",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.