Individual provider Active NPI

Emily Ann Osisek

  • Family Nurse Practitioner
  • Holladay, UT
National Provider Identifier
1992525398
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012973 Issued in DE
Practice address
1660 E Murray Holladay Rd
Holladay, UT 84117-5008
Phone
(801) 419-0705
Fax
(801) 606-7902
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0012973 DE Primary
Family Nurse Practitioner 363LF0000X 14210652-4405 UT

Addresses

Primary practice location

1660 E Murray Holladay Rd
Holladay, UT 84117-5008

Mailing address

7614 Society Dr
Claymont, DE 19703-1715
Phone (607) 743-5978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131000656 DE Practitioner - Nurse Practitioner 9931638210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0012973DEMDFamily Nurse Practitioner
14210652-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrihealth LLC CurrentSince Feb 3, 2025 Accepting new patients
Beebe Physician Network Inc. Family Past Accepting new patients

Locations

20930 DuPont Blvd
Unit 202
Georgetown, DE 19947
Phone (302) 202-3438

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1992525398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031715",
            "telephone_number": "607-743-5978",
            "fax_number": "801-606-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E MURRAY HOLLADAY RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175008",
            "telephone_number": "801-419-0705",
            "fax_number": "801-606-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSISEK",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012973",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14210652-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.