Individual provider Active NPI

Aliason Heather Martin-Overton, ARNP

  • Family Nurse Practitioner
  • Niceville, FL
National Provider Identifier
1396829990
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9273895 Issued in FL
Practice address
1001 College Blvd W BLDG 1 Ste D
Niceville, FL 32578-1049
Phone
(850) 389-8333
Fax
(850) 279-6031
NPI assigned
Oct 24, 2006
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9273895 FL Primary

Addresses

Primary practice location

1001 College Blvd W BLDG 1 Ste D
Niceville, FL 32578-1049

Mailing address

1001 W College Blvd BLDG 1 Ste D
Niceville, FL 32578-1049
Phone (850) 389-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9273895FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Roberts MD PA CurrentSince Aug 2, 2017 Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

1001 College Blvd W
Ste D
Niceville, FL 32578
Phone (850) 389-8333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCEJCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1396829990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W COLLEGE BLVD BLDG 1 STE D",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781049",
            "telephone_number": "850-389-8333",
            "fax_number": "850-279-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W BLDG 1 STE D",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781049",
            "telephone_number": "850-389-8333",
            "fax_number": "850-279-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-OVERTON",
        "first_name": "ALIASON",
        "middle_name": "HEATHER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9273895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.