Gerald Wayne Overstreet

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

4417 Pruett Dr
Yreka, CA 96097-9716

Phone

(916) 747-5379

NPI assigned

Dec 7, 2018

Last updated

Dec 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1891266508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 PRUETT DR",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979716",
            "telephone_number": "916-747-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 PRUETT DR",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979716",
            "telephone_number": "916-747-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary O'Neill, RN
• Annemarie O'Reilly, LCSW
• Catherine C. Olivolo, FNP
• Allison R Ortiz, RDH
• Angela Osterlund, CASE MANAGER
• Sean S Park, MD
• Manika S Paul
• Katarina Baltayan Pautz
• Laurie Marie Pedro Robustellini
• Performance Physical Therapy

• Non-emergency Medical Transport (VAN) in Yreka, CA
• Providers in Yreka, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.