Shivetti B Ossome, MS, OCC. THERAPIST

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OT 1173 Issued in CA

Practice address

4813 Tegan Rd
Elk Grove, CA 95758-5149

Phone

(916) 427-5613

NPI assigned

Dec 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1230163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230163200000",
    "number": "1861638728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 TEGAN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585149",
            "telephone_number": "916-427-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 TEGAN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585149",
            "telephone_number": "916-427-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSOME",
        "first_name": "SHIVETTI",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MS, OCC. THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-25",
        "last_updated": "2008-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "OT 1173",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "OT 1173",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "OT 1173",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "OT 1173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710918644",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khaya Eliane Chazmin Osborne
• Ulani S Osby
• Faviola Oseguera
• John Anthony Oshetski, DDS-MSD
• Sadya Osmani
• Otashe Golden, MD, Inc.
• Desiree Sahagun Ote, PHARMACIST
• Jessica Ott
• Helen Otteno, MD
• Jared Otto, MA

• Home Health Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.