Individual provider Active NPI

Anneka Overturf, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Puyallup, WA
National Provider Identifier
1336974849
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-152917 Issued in WA
Practice address
932 19TH Ave SW
Puyallup, WA 98371-7312
Phone
(253) 820-7271
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00173367 WA
Lactation Consultant (Registered Nurse) 163WL0100X L-152917 WA Primary

Addresses

Primary practice location

932 19TH Ave SW
Puyallup, WA 98371-7312

Mailing address

932 19TH Ave SW
Puyallup, WA 98371-7312
Phone (253) 820-7271

Other names 1

  • Anneka Overturf Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00173367WAMDRegistered Nurse
L-152917WAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1336974849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 19TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717312",
            "telephone_number": "253-820-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 19TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717312",
            "telephone_number": "253-820-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTURF",
        "first_name": "ANNEKA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00173367",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "L-152917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEKA",
            "last_name": "OVERTURF",
            "credential": "RN, IBCLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.