Active NPI
Kaitlin Osborne, ATC
- Athletic Trainer
- Owego, NY
National Provider Identifier
1811487259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003784
- Practice address
- 1 Sheldon Guile Blvd
Owego, NY 13827 - Phone
- (740) 288-6782
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003784 | NY | Primary |
Addresses
Primary practice location
1 Sheldon Guile Blvd
Owego, NY 13827
Mailing address
63 Spencer Ave
Owego, NY 13827-1414
Phone (740) 288-6782
Other practice location 1
540 Revere Beach Blvd Unit 222
Revere, MA 02151-4744
Phone (740) 288-6782
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 |
|---|---|---|---|
| 003784 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1811487259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 SPENCER AVE",
"city": "OWEGO",
"state": "NY",
"postal_code": "138271414",
"telephone_number": "740-288-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHELDON GUILE BLVD",
"city": "OWEGO",
"state": "NY",
"postal_code": "13827",
"telephone_number": "740-288-6782"
}
],
"practiceLocations": [
{
"address_1": "540 Revere Beach Blvd Unit 222",
"address_purpose": "LOCATION",
"city": "Revere",
"state": "MA",
"postal_code": "021514744",
"country_code": "US",
"telephone_number": "740-288-6782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "KAITLIN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.