Individual provider Active NPI

Attilah S Overton, CPT

  • Phlebotomy Technician
  • Capitol Heights, MD
National Provider Identifier
1346816477
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
200372Y12 Issued in MD
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

Updated by the provider on May 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
200372Y12MDMDPhlebotomy 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.

Verify at the official NPI Registry.