Active NPI
Adelle Anna Overett
- Behavior Technician
- Charlotte, NC
National Provider Identifier
1871067215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10926 S Tryon St
Charlotte, NC 28273 - Phone
- (855) 201-5498
- NPI assigned
- Jan 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 488699 | NC | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
10926 S Tryon St
Charlotte, NC 28273
Mailing address
10926 S Tryon St
Charlotte, NC 28273-4153
Phone (855) 201-5498
Other practice location 1
37 Market St SW
Concord, NC 28025-5007
Phone (855) 201-5498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488699 | Other | NC | BCBA ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Adelle | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 488699 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1871067215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10926 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734153",
"telephone_number": "855-201-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10926 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28273",
"telephone_number": "855-201-5498"
}
],
"practiceLocations": [
{
"address_1": "37 Market St SW",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280255007",
"country_code": "US",
"telephone_number": "855-201-5498",
"fax_number": "888-849-4249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERETT",
"first_name": "ADELLE",
"middle_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "488699",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA ID",
"identifier": "488699",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Adelle",
"affiliation": "N",
"endpointDescription": "Overett",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10926 S Tryon St",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282734153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.