Active NPI
Attilah S Overton, CPT
- Phlebotomy Technician
- Capitol Heights, MD
National Provider Identifier
1346816477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 200372Y12
- Practice address
- 1209 Dunbar Oaks Dr
Capitol Heights, MD 20743-6625 - Phone
- (202) 525-6015
- Fax
- (301) 560-3482
- NPI assigned
- May 30, 2021
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 200372Y12 | MD | Primary |
Addresses
Primary practice location
1209 Dunbar Oaks Dr
Capitol Heights, MD 20743-6625
Mailing address
5612 Helmont Dr
Oxon Hill, MD 20745-3232
Phone (202) 525-6015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200372Y12 | MD | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622332800000",
"number": "1346816477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5612 HELMONT DR",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453232",
"telephone_number": "202-525-6015",
"fax_number": "301-560-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 DUNBAR OAKS DR",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207436625",
"telephone_number": "202-525-6015",
"fax_number": "301-560-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERTON",
"first_name": "ATTILAH",
"middle_name": "S",
"credential": "CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2021-05-30",
"certification_date": "2021-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MD",
"license": "200372Y12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.