Crystal Osborn

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

9112961 Issued in FL

Practice address

200 Central Ave # 36
Sarasota, FL 34236-4914

Phone

(949) 480-7590

NPI assigned

Jul 26, 2017

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1619491206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 MIDNIGHT PEARL DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342402418",
            "telephone_number": "949-941-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL AVE # 36",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364914",
            "telephone_number": "949-480-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "54557",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "9112961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hernando Arturo Ortiz, OMD
• Lizzmar C Ortiz
• Mary I Ortiz, MSN, ARNP
• Sandra Ortiz, PA-C
• Nancy Aisosa Osadiaye-Ebomoyi, MD
• Shannon May Osborne, O.D.
• Shirley Nicole Osborne, COTA
• Ruth Ann Oski, APRN
• Gloria C Osorio, CNA
• Osprey Optical, Inc. (Sarasota Optical, Inc.)

• Plastic Surgery Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.