Active NPI
Marguerite Overton, CRNA
- Certified Registered Nurse Anesthetist
- Meridian, ID
National Provider Identifier
1366476301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- N-25778
- Practice address
- 520 S Eagle Rd
Suite 3104
Meridian, ID 83642-6308 - Phone
- (208) 373-1200
- NPI assigned
- Jul 10, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | N-25778 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Suite 3104
Meridian, ID 83642-6308
Mailing address
PO Box 2203
Idaho Falls, ID 83403-2203
Phone (208) 525-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000141 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608763677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-25778 | ID | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366476301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2203",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834032203",
"telephone_number": "208-525-2090",
"fax_number": "208-525-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"address_2": "SUITE 3104",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426308",
"telephone_number": "208-373-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERTON",
"first_name": "MARGUERITE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "N-25778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.