Tara Lynn Osburn, M.S. IN ED.

Individual provider Active NPI Specialist · Lindley, NY

NPI 1982966248 · NPPES record last updated Jun 13, 2012

Key facts

NPI
1982966248
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
437 John Hill Rd
Lindley, NY 14858-9733
Phone
(607) 524-6875
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

437 John Hill Rd
Lindley, NY 14858-9733

Mailing address

437 John Hill Rd
Lindley, NY 14858-9733
Phone (607) 524-6875

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2012.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1982966248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 JOHN HILL RD",
            "city": "LINDLEY",
            "state": "NY",
            "postal_code": "148589733",
            "telephone_number": "607-524-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 JOHN HILL RD",
            "city": "LINDLEY",
            "state": "NY",
            "postal_code": "148589733",
            "telephone_number": "607-524-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "M.S. IN ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindley, NY

All providers in Lindley, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.