Individual provider Active NPI

Emily Osborne, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1982123204
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005137 Issued in CO
Practice address
2555 S Downing St FL 1
Denver, CO 80210-5856
Phone
(303) 316-6677
Fax
(303) 316-5004
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.0005137 CO Primary

Addresses

Primary practice location

2555 S Downing St FL 1
Denver, CO 80210-5856

Mailing address

7550 S Blackhawk St Apt 2204
Englewood, CO 80112-4074

Other practice location 1

790 Delaware St
Denver, CO 80204-4532
Phone (303) 602-9297

Other practice location 2

9218 Kimmer Dr Ste 207
Lone Tree, CO 80124-6733
Phone (720) 493-9006

Other names 1

  • Emily Becker Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3086OKMDProfessional Counselor
PA.0005137COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1982123204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 S BLACKHAWK ST APT 2204",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST FL 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105856",
            "telephone_number": "303-316-6677",
            "fax_number": "303-316-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044532",
            "country_code": "US",
            "telephone_number": "303-602-9297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9218 Kimmer Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801246733",
            "country_code": "US",
            "telephone_number": "720-493-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BECKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.