Edilma Overell, RN238664

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

RN 238664 Issued in CA

Practice address

104 Barnes St
Oceanside, CA 92054-3406

Phone

(760) 967-4401

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Other names 1

• Mrs. Edilma Overell Other name

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306962972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 GLENHOLLOW CIR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BARNES ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543406",
            "telephone_number": "760-967-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERELL",
        "first_name": "EDILMA",
        "name_prefix": "Mrs.",
        "credential": "RN238664",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "RN 238664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "163WC1500X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDILMA",
            "last_name": "OVERELL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pedro Benyamin Ostrosky Slomianski
• Bronson Henry Ouellette, RD
• Parisa Ourmazdi, PHARMD
• Outreach Care Medical Group, Inc
• Chelsea Dawn Ovanek, DNP, FNP-C, ENP-C
• Pamela Overend, RN
• Casey Owen-Armitage
• Annalane Brogdon Owens, CCC-SLP
• Jill Ownbey
• Lawrence James Yaw Owusu, PAC

• Community Health Clinic/Center in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Community Health Clinic/Center in California

• 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.