Individual provider Active NPI

Kelley Elizabeth Osborne, CRNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1699850032
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168719 Issued in VA
Practice address
5855 Bremo Rd
Suite 706
Richmond, VA 23226-1926
Phone
(804) 285-8206
Fax
(804) 288-6602
NPI assigned
Oct 26, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168719 VA Primary

Addresses

Primary practice location

5855 Bremo Rd
Suite 706
Richmond, VA 23226-1926

Mailing address

2369 Staples Mill Rd
Suite 200
Richmond, VA 23230-2918
Phone (804) 285-4485

Other identifiers 1

IdentifierTypeStateIssuer
1699850032MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000335 VA Practitioner - Nurse Practitioner 8123074077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC CurrentSince Jul 26, 2017 Accepting new patients
University of Penn-PA Trauma Past Accepting new patients

Locations

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

5855 Bremo Rd
Ste 706
Richmond, VA 23226
Phone (804) 287-4528

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1699850032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-4485",
            "fax_number": "804-285-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 706",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261926",
            "telephone_number": "804-285-8206",
            "fax_number": "804-288-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KELLEY",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699850032",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.