Individual provider Active NPI

Heather L. Overland, NMD, LAC

  • Naturopath
  • Hayden, ID
National Provider Identifier
1740723188
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ACH-NAT-LIC-1627 Issued in MT
Practice address
660 W Capstone CT Ste B
Hayden, ID 83835-8774
Phone
(208) 295-9778
Fax
(208) 213-9369
NPI assigned
Dec 1, 2016
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 427 ID
Acupuncturist 171100000X AC179695 OR
Acupuncturist 171100000X AC 60705361 WA
Acupuncturist 171100000X MED-ACU-LIC-66544 MT
Naturopath 175F00000X NMD-0028 ID
Naturopath 175F00000X NT 60705355 WA
Naturopath 175F00000X 4043 OR
Naturopath 175F00000X ACH-NAT-LIC-1627 MT Primary

Addresses

Primary practice location

660 W Capstone CT Ste B
Hayden, ID 83835-8774

Mailing address

660 W Capstone CT Ste B
Hayden, ID 83835-8774
Phone (208) 295-9778

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Heather.Overland@123227487797252.direct.elationemr.com Direct

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

LicenseStateTypeSpecialty
427IDMDAcupuncturist
MED-ACU-LIC-66544MTMDAcupuncturist
AC179695ORMDAcupuncturist
AC 60705361WAMDAcupuncturist
NMD-0028IDMDNaturopath
ACH-NAT-LIC-1627MTMDNaturopath
NT 60705355WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Wellness PLLC Acupuncturist CurrentSince Dec 1, 2021 Accepting new patients

Locations

660 W Capstone Ct
#B
Hayden, ID 83835
Phone (208) 295-9778

Interoperability endpoints

  • Direct secure messaging: heather.overland@123227487797252.direct.elationemr.com

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1740723188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W CAPSTONE CT STE B",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358774",
            "telephone_number": "208-295-9778",
            "fax_number": "509-992-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W CAPSTONE CT STE B",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358774",
            "telephone_number": "208-295-9778",
            "fax_number": "208-213-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLAND",
        "first_name": "HEATHER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "NMD, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "427",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC179695",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60705361",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "MED-ACU-LIC-66544",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0028",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60705355",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4043",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MT",
            "license": "ACH-NAT-LIC-1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.Overland@123227487797252.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "660 W Capstone Ct Ste B",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838358774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.