Shawnda Pool Overton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

063964 Issued in NC

Practice address

7723 Averette Field Dr
Raleigh, NC 27616-5156

Phone

(919) 449-8182

NPI assigned

Feb 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1053735522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 AVERETTE FIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165156",
            "telephone_number": "919-449-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 AVERETTE FIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165156",
            "telephone_number": "919-449-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "SHAWNDA",
        "middle_name": "POOL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "063964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Overholser, DC
• Ashley Christine Overman-Goldsmith, MA, LPC, NCC
• Jill Ann Overman, PA-C
• Carroll Christopher Overton, M.D.
• Lewis Joseph Overton, MD
• Hector Francisco Oviedo Hernandez
• Milissa Raechael Ovitt, D.C.
• George Gregor Owen, LDO, FNAO
• Maya Beth Owen
• Alex Bernard Owens Jr.

• Licensed Practical Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.