Kelli Overmann, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024187304 Issued in VA

Practice address

316 W 21St St
Norfolk, VA 23517-2113

Phone

(757) 335-4818

NPI assigned

Mar 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1376245118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 21ST ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 21ST ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172113",
            "telephone_number": "757-335-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMANN",
        "first_name": "KELLI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-06-09",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001260600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Extended Family LLC
• Ourhealth Physician Group, LLC
• Outer Banks Anesthesia, PC
• Everett Outland Jr.
• Madison Elise Overby, DMD
• Beverly C Owen, RDH
• Deborah A, Owen, P.T.A.
• William C Owen, M.D.
• Cameron Owens, MSN, APRN, PMHNP-BC
• Michael R Owens, MD

• Family Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.