Active NPI
Deirdra Osborne, MASTERS OF SCIENCE
- Speech-Language Pathologist
- Bowie, MD
National Provider Identifier
1598091621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06443
- Practice address
- 10210 Balsam Poplar PL
Bowie, MD 20721-2785 - Phone
- (773) 480-7253
- NPI assigned
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06443 | MD | Primary |
Addresses
Primary practice location
10210 Balsam Poplar PL
Bowie, MD 20721-2785
Mailing address
10210 Balsam Poplar PL
Bowie, MD 20721-2785
Phone (773) 480-7253
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06443 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1598091621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10210 BALSAM POPLAR PL",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212785",
"telephone_number": "773-480-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 BALSAM POPLAR PL",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212785",
"telephone_number": "773-480-7253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "DEIRDRA",
"name_prefix": "Mrs.",
"credential": "MASTERS OF SCIENCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
- Orthopaedic and Sports Medicine Center LLC
- Orthopedic Physicians of Annapolis LLC (Ortho and Sports Medicine Center)
- Orthopedic Physicians of Annapolis LLC (Orthopedic and Sports Medicine Center)
- Hannah Oru
- Godspower Osahon
- Richard Osborne Jr., MS, OTR/L
- Joel Osebor
- Maureen N. Osegbe
- Lilian Osei, NP
- Aina Oshokoya
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.