MRS. SHANNON LEE OSBECK


Address: 3625 University Blvd S, Jacksonville, FL 32216-4207
Phone: 9043996111

MRS. SHANNON LEE OSBECK (NPI# 1629400767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629400767
Entity Type Individual
Full Name MRS. SHANNON LEE OSBECK
Other Name SHANNON LEE THRASHER
Credential NNP
Practice Address 3625 University Blvd S
Jacksonville
FL 32216-4207
Mailing Address 1500 Concord Ter
Sunrise
FL 33323-2815
Practice Telephone 9043996111
Mailing Telephone 8002433839
Enumeration Date 2013-07-31
Last Update Date 2014-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
ARNP 3283912 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 010212900 05
GA 003141014A 05

Office Location

Street Address 3625 UNIVERSITY BLVD S
City JACKSONVILLE
State FL
Zip Code 32216-4207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588664395 Karen Elizabeth Anderson Anesthesiology 3625 University Blvd S, Jacksonville, FL 32216-4207 2005-07-22
1174122071 Deleah Rene Pickler Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-10-21
1801401641 Kara N Cordova Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2020-09-09
1174153654 Marina Follick Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-01-23
1649818337 Sarah Chapman Farris Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-13
1487291837 Lee Willingham Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-04
1609411586 Kyle Steven Scott Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-11-14
1982246328 Amy Marie Suralis Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-10-16
1396391991 Sarah Siebrandt Occupational Therapist 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-08-11
1790347979 Leda Hansen Nurse Practitioner 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114255593 Jeffrey Allen Siebert Nurse Practitioner 100 Brewster Blvd., Camp Lejeune, Jacksonville, NC 28547-2538 2009-11-24
1134344302 Eleanor F Pardue Nurse Practitioner 2080 Child St Naval Hospital At Jacksonville, Mother Infant Unit, Jacksonville, FL 32212 2007-04-14
1134752348 Jennifer Moore Lemieux Nurse Practitioner 655 W 8th St, Jacksonville, FL 32209-6511 2020-02-17
1215582481 Julia Nogueira Peredo Nurse Practitioner 655 W 8th St # C3, Jacksonville, FL 32209-6511 2019-08-05
1730678905 Chloe Dee Webster Nurse Practitioner 800 Prudential Dr, Jacksonville, FL 32207-8202 2018-05-03
1144696162 Jenna Rose Ryan Nurse Practitioner 655 W 8th St, Jacksonville, FL 32209-6511 2015-08-13
1346634474 Amy Nichol Bouchell Nurse Practitioner 655 W 8th St, Jacksonville, FL 32209-6511 2015-03-26
1093107526 Laura Beth Pope Nurse Practitioner 820 Prudential Dr, Jacksonville, FL 32207-8210 2015-02-20
1538586235 Ashley Smith Nurse Practitioner 800 Prudential Dr, Jacksonville, FL 32207-8202 2014-03-20
1578900056 Amanda Michelle Sullivan Nurse Practitioner 655 W 8th St, Ufjax - Dept. of Pediatrics/neonatology, Jacksonville, FL 32209-6511 2013-05-24
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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