JAYNE C. OVERHOLT (NPI# 1033184627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033184627 |
| Entity Type | Individual |
| Full Name | JAYNE C. OVERHOLT |
| Credential | PNP |
| Practice Address |
5290 Military Rd Suite #3 Lewiston NY 14092-1953 |
| Practice Telephone | 7162970052 |
| Practice Fax Number | 7162974530 |
| Mailing Telephone | 7162970052 |
| Mailing Fax Number | 7162974530 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F3809201 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 07152689 | 05 |
| Street Address |
5290 MILITARY RD SUITE #3 |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285619650 | John Douglas Greene | Obstetrics & Gynecology | 5290 Military Rd, Suite 8, Lewiston, NY 14092-1953 | 2005-12-08 |
| 1942553029 | Michael Kreymer Medicine PC | Anesthesiology | 5290 Military Rd, Suite 6, Lewiston, NY 14092-1953 | 2012-10-26 |
| 1447311345 | Katherine L Pierce | Nurse Practitioner | 5290 Military Rd, Ste #10, Lewiston, NY 14092-1953 | 2006-12-13 |
| 1528031697 | Mary Ann Zavisca Bishara | Anesthesiology | 5290 Military Rd, Mt St Mary Medical Arts Bldg Room 6, Lewiston, NY 14092 | 2006-02-09 |
| 1851362800 | William Lafayette Brumfield Jr. | Nurse Anesthetist, Certified Registered | 5290 Military Rd, Lewiston, NY 14092-1953 | 2006-01-29 |
| 1336126630 | Andrea Marie Rosati | Nurse Practitioner | 5290 Military Rd, Suite 8, Lewiston, NY 14092-1953 | 2005-12-28 |
| 1861478018 | Renee T Baughman | Obstetrics & Gynecology | 5290 Military Rd, Suite 8, Lewiston, NY 14092-1953 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
| 1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
| 1528304409 | Amanda Bowden | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2012-12-20 |
| 1689982449 | Emily Vandoren | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2010-09-15 |
| 1902006851 | Heidi Toews | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7634 | 2007-07-19 |
| 1811016579 | Catherine Roland | Nurse Practitioner | 156 East Ave, Lewiston, ME 04240-5626 | 2007-03-27 |
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|---|---|---|---|---|
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| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.