Active NPI
Rachel A Overdevest, M.D.
- Pediatrics Physician
- Wilmington, DE
National Provider Identifier
1841556891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0011317
- Practice address
- 5500 Skyline Dr Ste 4
Wilmington, DE 19808-1772 - Phone
- (302) 239-7755
- Fax
- (302) 234-2735
- NPI assigned
- Apr 4, 2012
- Last updated
- Dec 13, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C1-0011317 | DE | Primary |
Addresses
Primary practice location
5500 Skyline Dr Ste 4
Wilmington, DE 19808-1772
Mailing address
PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200
Other practice location 1
4735 Ogletown Stanton Rd
M.A.P. #2, Suite 1116
Newark, DE 19713-2072
Phone (302) 368-8612
Other names 1
- Rachel Allyn Martin
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0011317 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- roverdevest62316@direct.nemours.org
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.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1841556891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-4200",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 SKYLINE DR STE 4",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081772",
"telephone_number": "302-239-7755",
"fax_number": "302-234-2735"
}
],
"practiceLocations": [
{
"address_1": "4735 Ogletown Stanton Rd",
"address_2": "M.A.P. #2, Suite 1116",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132072",
"country_code": "US",
"telephone_number": "302-368-8612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERDEVEST",
"first_name": "RACHEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0011317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "MARTIN",
"middle_name": "ALLYN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.