Christy Annie Overson

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

355394-4402 Issued in UT

Practice address

970 Medical Dr Ste 202
Brigham City, UT 84302-3286

Phone

(435) 695-2273

Fax

(435) 695-2278

NPI assigned

Dec 13, 2013

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountainstar Brigham OBGYN LLCGroup PAC ID 3678634599, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annie.overson@hca3.eclinicaldirectplus.com
• Direct secure messaging: christy.overson@hca3.eclinicaldirectplus.com

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

• Mountainstar Brigham OBGYN, LLC

  dba Brigham Center for Women's Health

  • Obstetrics & Gynecology Physician
  • Brigham City, UT
  • NPI 1134379696
  Medicare reassignment Care Compare group NPD
• Mountainstar Cardiology St Marks LLC

  dba Heart Center at St Mark's

  • Interventional Cardiology Physician
  • Salt Lake City, UT
  • NPI 1437446168
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brigham City Community Hospital, Inc.

  dba Brigham City Community Hospital

  • General Acute Care Hospital
  • Brigham City, UT
  • NPI 1245282227
  Care Compare affiliation

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053732297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405473",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MEDICAL DR STE 202",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023286",
            "telephone_number": "435-695-2273",
            "fax_number": "435-695-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSON",
        "first_name": "CHRISTY",
        "middle_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2022-01-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "UT",
            "license": "355394-4402",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "355394-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRISTY.OVERSON@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "970 Medical Dr Ste 202",
            "city": "Brigham City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843023286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Olsen
• Aaron Michael Olson, D.D.S.
• Joseph C. Olson, O.D.
• Orthopaedic Therapy and Sports Performance LLC
• Orthoutah, LLC
• Clayton Pabst
• Saige M Palmer
• Jose Roman Pantoja
• Lydia Park
• Sydney Parker

• Clinical Nurse Specialist in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.