Active NPI
Vicky Lynn Overton, LPTN
- Licensed Psychiatric Technician
- Maumelle, AR
National Provider Identifier
1639474794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- TO1703
- Practice address
- 12 Leisurewood LN
Maumelle, AR 72113-6207 - Phone
- (501) 554-0271
- NPI assigned
- Jan 21, 2011
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | TO1703 | AR | Primary |
Addresses
Primary practice location
12 Leisurewood LN
Maumelle, AR 72113-6207
Mailing address
12 Leisurewood LN
Maumelle, AR 72113-6207
Phone (501) 554-0271
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 |
|---|---|---|---|
| TO1703 | AR | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1639474794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LEISUREWOOD LN",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136207",
"telephone_number": "501-554-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LEISUREWOOD LN",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136207",
"telephone_number": "501-554-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERTON",
"first_name": "VICKY",
"middle_name": "LYNN",
"credential": "LPTN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "AR",
"license": "TO1703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.