AMY LEIGH OVERTON-MCCOY GNP NPI 1295731545

NPI Information

NPI: 1295731545
Provider Name: AMY LEIGH OVERTON-MCCOY, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1307 TRINITY BOULEVARD
TEXARKANA, AR
ZIP 71854
Phone: (870) 773-6467
Get Directions

Amy Leigh Overton-mccoy, GNP is a gerontology nurse practitioner in Texarkana, AR. Amy Leigh Overton-mccoy, GNP NPI is 1295731545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1307 TRINITY BOULEVARD
TEXARKANA, AR
ZIP 71854
Phone: (870) 773-6467
Fax: (870) 216-0061

The NPI 1295731545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 11/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	A001559	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P43428	MEDICARE UPIN
2	146188758	MEDICAID	ARKANSAS
3	82234	OTHER	ARKANSAS	AR BLUE CROSS BLUE SHIELD
4	84P261	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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