WAYNE DAVID OVERLY (NPI# 1336303577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336303577 |
| Entity Type | Individual |
| Full Name | WAYNE DAVID OVERLY |
| Credential | CNS |
| Practice Address |
Va San Diego Healthcare System 3350 La Jolla Village Drive San Diego CA 92161-0001 |
| Mailing Address |
10406 Wild Orchid Way San Diego CA 92127-2876 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 8582540568 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
501535 | CA | Nursing Service Providers |
| Street Address |
VA SAN DIEGO HEALTHCARE SYSTEM 3350 LA JOLLA VILLAGE DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154379949 | Mary Alice Lacy | Nurse Practitioner | Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118, San Diego, CA 92161-0001 | 2006-05-04 |
| 1972012268 | Jessica Lynne Lontayo | Student in an Organized Health Care Education/Training Program | Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0002 | 2017-09-29 |
| 1457705915 | Victoria Lee Clark | Dietitian, Registered | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2016-04-20 |
| 1336458124 | Tatiana Anastasia Chircop-rollick | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a), San Diego, CA 92161-0001 | 2010-09-28 |
| 1437464492 | Megan Ann Paulk | Audiologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2010-08-15 |
| 1013231067 | Kathleen Ann Mcchesney | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive, (116b), San Diego, CA 92161-0001 | 2010-03-19 |
| 1508098815 | Shannon Marie Matsko | Pharmacist | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2009-08-20 |
| 1891926515 | Natalie Nicole Castriotta | Psychologist | Va San Diego Healthcare System, 33, San Diego, CA 92161-0001 | 2009-07-29 |
| 1346474848 | Carl Stepnowsky | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive (111n-1), San Diego, CA 92161-0001 | 2009-05-12 |
| 1245470871 | Christie A. Cole | Nurse Anesthetist, Certified Registered | Va San Diego Healthcare System, (mc 125) 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2009-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033672969 | Donna Kathleen Stachowicz | Registered Nurse | 7675 Mission Valley Rd, San Diego, CA 92108-4429 | 2019-04-08 |
| 1588029912 | Larry Labossiere II | Registered Nurse | 8195 Torrey Gardens Place, San Diego, CA 92129 | 2015-12-30 |
| 1407282544 | Gary Goins | Registered Nurse | 10755 Scripps Poway Pkwy # 560, San Diego, CA 92131-3924 | 2013-09-20 |
| 1972111870 | Brent P Davis | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1073137139 | Sandra Lee Oswald | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1215560693 | Italia Larocco | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-02-13 |
| 1326515990 | Joseph Michael Martin | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-10-31 |
| 1245726199 | Lindsey Harvey | Registered Nurse | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-07-03 |
| 1124327739 | Paul Smith Villaire | Registered Nurse | 34800 Bob Wilson Dr, San Diego, CA 92134 | 2011-03-22 |
| 1457474181 | Rebecca Pate | Registered Nurse | 6255 Mission Gorge Rd, San Diego, CA 92120-3505 | 2007-04-09 |
| Find all providers in SAN DIEGO | ||||
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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.