Individual provider Active NPI

Carolyn H. Overbay, M.A.

  • Speech-Language Pathologist
  • Johnson City, TN
National Provider Identifier
1154489748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000000032 Issued in TN
Practice address
208 Sunset Dr Ste 367
Johnson City, TN 37604-2521
Phone
(423) 282-1700
Fax
(423) 282-9319
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP0000000032 TN Primary

Addresses

Primary practice location

208 Sunset Dr Ste 367
Johnson City, TN 37604-2521

Mailing address

208 Sunset Dr Ste 367
Johnson City, TN 37604-2521
Phone (423) 282-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP0000000032TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154489748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SUNSET DR STE 367",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042521",
            "telephone_number": "423-282-1700",
            "fax_number": "423-282-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SUNSET DR STE 367",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042521",
            "telephone_number": "423-282-1700",
            "fax_number": "423-282-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBAY",
        "first_name": "CAROLYN",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000000032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.