Katherine Amelia Overton, M.D
Individual provider Active NPI Obstetrics & Gynecology Physician · Goshen, CA
NPI 1902836893 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1902836893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- G54757 (CA)
- Practice address
- 31180 Road 72
Goshen, CA 93227-9997 - Phone
- (877) 960-3426
- Fax
- (559) 734-1247
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161013002458 | CA | Practitioner - Obstetrics/Gynecology | 4981992559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54757 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current |
Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current |
Accepting new patients | |
| Family Healthcare Network | Past | Accepting new patients |
Locations
41651 Sierra Dr
#A
Three Rivers, CA 93271
Phone (559) 561-4683
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
Interoperability endpoints
- katherine.overton.p1@direct.altura.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G54757 | CA | Yes |
Addresses
Primary practice location
31180 Road 72
Goshen, CA 93227-9997
Mailing address
305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700
Other practice location 1
305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G547570 | Medicaid | CA |
Other providers in Goshen, CA
All providers in Goshen, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.