Individual provider Active NPI

Seth Osgood, FNP

  • Family Nurse Practitioner
  • West Lebanon, NH
National Provider Identifier
1790186484
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
075358-23 Issued in NH
Practice address
24 Airport Rd Ste 302
West Lebanon, NH 03784-1663
Phone
(888) 644-7668
Fax
(603) 856-0372
NPI assigned
Sep 12, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126443 TX
Family Nurse Practitioner 363LF0000X 075358-23 NH Primary

Addresses

Primary practice location

24 Airport Rd Ste 302
West Lebanon, NH 03784-1663

Mailing address

2520 Broadway St
Suite 100
San Antonio, TX 78215-1140
Phone (210) 595-1019

Other practice location 1

227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone (888) 644-7668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2018 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075358-23NHMDFamily Nurse Practitioner
AP126443TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bernice Gonzalez, MD, PA Current Accepting new patients

Locations

2520 Broadway St
Ste 100
San Antonio, TX 78215
Phone (210) 595-1019

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12437/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790186484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151140",
            "telephone_number": "210-595-1019",
            "fax_number": "210-251-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AIRPORT RD STE 302",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841663",
            "telephone_number": "888-644-7668",
            "fax_number": "603-856-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 N Loop 1604 E Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782321450",
            "country_code": "US",
            "telephone_number": "888-644-7668",
            "fax_number": "603-856-0372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSGOOD",
        "first_name": "SETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075358-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

Verify at the official NPI Registry.