Individual provider Active NPI

Brandi Cheyenne Osburn, APRN, FNP-C

  • Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1659049260
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5380109111 Issued in KS
Practice address
1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741
Phone
(785) 749-1300
Fax
(785) 749-4746
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2021018999 MO
Nurse Practitioner 363L00000X 5380109111 KS Primary

Addresses

Primary practice location

1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741

Mailing address

24739 W 92ND St
Lenexa, KS 66227-7802
Phone (785) 640-1710

Other identifiers 2

IdentifierTypeStateIssuer
2021018999OtherMOMISSOURI LICENSE
5380109111OtherKSKANSAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210909001033 KS Practitioner - Nurse Practitioner 1153727680 Reassigns benefits to 3 organizations
I20210909002251 MO Practitioner - Nurse Practitioner 1153727680 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5380109111KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jan 5, 2022 Accepting new patients
Signature Medical Group of KC, P.a. CurrentSince Apr 1, 2022 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jan 5, 2022 Accepting new patients
Vibrant Health Solutions Center CurrentSince Jul 21, 2024 Accepting new patients
Signature Medical Group of KC, PA CurrentSince Apr 1, 2022 Accepting new patients
Eva Beauty and Wellness CurrentSince Sep 5, 2021 Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

4931 W 6th St
Ste 116
Lawrence, KS 66049
Phone (785) 749-1300

1311 Wakarusa Dr
Ste 1000
Lawrence, KS 66049
Phone (785) 749-1300

10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

3151 NE Carnegie Dr
Ste B
Lees Summit, MO 64064
Phone (816) 525-2800

Organizations & group practices 7

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1659049260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24739 W 92ND ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277802",
            "telephone_number": "785-640-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "BRANDI",
        "middle_name": "CHEYENNE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021018999",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5380109111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2021018999",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "5380109111",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.