KARYN RAE OVERTURF (NPI# 1518272913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518272913 |
| Entity Type | Individual |
| Full Name | KARYN RAE OVERTURF |
| Credential | ANP |
| Practice Address |
3200 Providence Dr Suite B111 Anchorage AK 99508-4615 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9072127997 |
| Practice Fax Number | 9072128225 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1484 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1649401 | 05 |
| Street Address |
3200 PROVIDENCE DR SUITE B111 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809429 | James M Moran | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4661 | 2005-05-30 |
| 1104425073 | Lennett Lerch | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-10-21 |
| 1013521145 | Liberty Ann Helgeson | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-09-05 |
| 1245840651 | Andrew Zwerlein | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-08-01 |
| 1417572090 | Jordan Iverson | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-10 |
| 1841814795 | Providence Health & Services Washington | Psychologist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-05 |
| 1609490762 | Ellen Reeder | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-04 |
| 1265061279 | Providence Health & Services Washington | Clinic/Center | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-04-02 |
| 1437794138 | Haley Monolopolus | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2019-11-17 |
| 1144707373 | Traci Sickich | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070654 | Amanda D Ellis | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2020-07-15 |
| 1427691864 | Claudia Proelss Smith | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2019-10-17 |
| 1902325558 | Lindsay Rachel Ekiss | Nurse Practitioner | 11260 Old Seward Hwy Ste 107, Anchorage, AK 99515 | 2017-09-14 |
| 1265984181 | Theresa Gale Hall | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089232 | Merritt M Andruss | Nurse Practitioner | 4675 Glacier Hwy, Juneau, AK 99801-9518 | 2006-12-14 |
| 1760912182 | Todd Draper | Nurse Practitioner | 1221 Noble St, Fairbanks, AK 99701-4961 | 2017-06-18 |
| 1659522712 | Charlotte Marie Davis | Nurse Practitioner | 1867 Airport Way, Suite 110b, Fairbanks, AK 99701-4007 | 2008-10-08 |
| 1215932256 | Lynn M Stevens Knowles | Nurse Practitioner | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2005-06-16 |
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| 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.