Tami Lynn Osburn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-06310 Issued in NM

Practice address

1123 Vermont Ave
Alamogordo, NM 88310-6340

Phone

(575) 415-9270

Fax

(208) 978-7050

NPI assigned

Oct 16, 2006

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Tami Lynn Risavi Former name

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponca Tribe of NebraskaGroup PAC ID 0648169177, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ponca Tribe of Nebraska

  dba Fred LeRoy Health & Wellness Center

  • Clinic/Center
  • Omaha, NE
  • NPI 1710172879

  TX

  Medicare reassignment Care Compare group NPD
• Oasis Wellness LLC

  • Marriage & Family Therapist
  • Albuquerque, NM
  • NPI 1073361341
  Medicare reassignment NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1841370889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1512",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883111512",
            "telephone_number": "402-350-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 VERMONT AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106340",
            "telephone_number": "575-415-9270",
            "fax_number": "208-978-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 10th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105053",
            "country_code": "US",
            "telephone_number": "575-437-7404",
            "fax_number": "575-439-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "TAMI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-06310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79206352",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMI",
            "last_name": "RISAVI",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen L Ortiz, SLP-CF
• Sophia Ortiz
• David Orton
• Kaitlin Orwig
• Tracey Marie Osborne, CNP
• Kathryn Osz
• Otero Community Cancer Center
• Otero County Council on Alcohol Abuse and Alcoholism
• Otero County Hospital Association (CHRISTUS Pharmacy (Downtown))
• Otero County Hospital Association (CHRISTUS Southern New Mexico)

• Clinical Social Worker in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.