Active NPI
Staci Weathers Osborn
- School Psychologist
- Woodway, TX
National Provider Identifier
1972093060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 70235
- Practice address
- 900 Falcon Dr
Woodway, TX 76712-3437 - Phone
- (205) 529-4859
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 70235 | TX | Primary |
Addresses
Primary practice location
900 Falcon Dr
Woodway, TX 76712-3437
Mailing address
900 Falcon Dr
Woodway, TX 76712-3437
Phone (120) 552-9485
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 |
|---|---|---|---|
| 70235 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1972093060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FALCON DR",
"city": "WOODWAY",
"state": "TX",
"postal_code": "767123437",
"telephone_number": "120-552-9485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FALCON DR",
"city": "WOODWAY",
"state": "TX",
"postal_code": "767123437",
"telephone_number": "205-529-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "STACI",
"middle_name": "WEATHERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "70235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.