Active NPI
Erin Jean Overcash, W.H.N.P.
- Women's Health Nurse Practitioner
- Peoria, IL
National Provider Identifier
1659662070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209.008771
- Practice address
- 7309 N Knoxville Ave
Suite 300
Peoria, IL 61614-2085 - Phone
- (309) 671-5100
- Fax
- (309) 671-5115
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209.008771 | IL | Primary |
Addresses
Primary practice location
7309 N Knoxville Ave
Suite 300
Peoria, IL 61614-2085
Mailing address
PO Box 10033
Peoria, IL 61612-0033
Phone (309) 671-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110516000312 | IL | Practitioner - Nurse Practitioner | 1153507702 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008771 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Health Institute LTD | Current | Accepting new patients |
Locations
7309 N Knoxville Ave
Ste 300
Peoria, IL 61614
Phone (309) 671-5100
Interoperability endpoints
- https://api.platform.athenahealth.com/933/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
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- Peoria, IL
- NPI 1881613099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1659662070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10033",
"city": "PEORIA",
"state": "IL",
"postal_code": "616120033",
"telephone_number": "309-671-5100",
"fax_number": "309-671-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 N KNOXVILLE AVE",
"address_2": "SUITE 300",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142085",
"telephone_number": "309-671-5100",
"fax_number": "309-671-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERCASH",
"first_name": "ERIN",
"middle_name": "JEAN",
"credential": "W.H.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209.008771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.