Active NPI
Carolyn H. Overbay, M.A.
- Speech-Language Pathologist
- Johnson City, TN
National Provider Identifier
1154489748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000000032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000000032 | TN | MD | Speech-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.