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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.