MRS. BRENDA RUTH OVERSTREET (NPI# 1336440163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336440163 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA RUTH OVERSTREET |
| Credential | ARNP |
| Practice Address |
3205 Summit Square Pl Suite 100 Lexington KY 40509-2650 |
| Practice Telephone | 8593359041 |
| Practice Fax Number | 8593359072 |
| Mailing Telephone | 8593359041 |
| Mailing Fax Number | 8593359072 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
6621P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3205 SUMMIT SQUARE PL SUITE 100 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033100631 | Dana Elizabeth Grabham | Personal Emergency Response Attendant | 3205 Summit Square Pl, Lexington, KY 40509-2650 | 2005-11-02 |
| 1295027126 | Jeremy Patrick Stich | Emergency Medicine | 3205 Summit Square Pl, Lexington, KY 40509-2650 | 2011-05-11 |
| 1578865283 | Nathan John Mittlesteadt | Physician Assistant | 3205 Summit Square Pl, Lexington, KY 40509-2650 | 2010-12-01 |
| 1285944348 | Joshua Garland Sykes | Physician Assistant | 3205 Summit Square Pl, Lexington, KY 40509-2650 | 2010-10-07 |
| 1710210984 | Laura Beth Martin Furnish | Nurse Practitioner | 3205 Summit Square Pl, Suite 100, Lexington, KY 40509-2650 | 2009-09-06 |
| 1811044597 | Ryan Ashley Stanton | Emergency Medicine | 3205 Summit Square Pl, Suite 100, Lexington, KY 40509-2636 | 2007-01-04 |
| 1326133307 | George Oscar Nobile | Emergency Medicine | 3205 Summit Square Pl, Suite 100, Lexington, KY 40509-2650 | 2006-10-04 |
| 1356364079 | Dan Sotingeanu | Emergency Medicine | 3205 Summit Square Pl, Suite 100, Lexington, KY 40509-2650 | 2006-07-25 |
| 1891737185 | Marshall Emergency Services Associates, Pllc | Physician Assistant | 3205 Summit Square Pl, Suite 100, Lexington, KY 40509-2650 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868367 | Emily Han | Nurse Practitioner | 3245 Orchard Grass Rd, Lexington, KY 40509-8639 | 2020-10-14 |
| 1548740111 | Doreen M Legere | Nurse Practitioner | Uk Division of Pulmonary Critical Care 800 Rose St, Lexington, KY 40536-0001 | 2018-08-14 |
| 1548747884 | William Brian James | Nurse Practitioner | Univ of Ky 800 Rose Street, Lexington, KY 40536-0001 | 2018-07-19 |
| 1851608459 | Shannon C Shumaker | Nurse Practitioner | 800 Rose Street Gill Heart Institute, Lexington, KY 40536-0298 | 2010-09-03 |
| 1578890224 | Dana Lenore Smith | Nurse Practitioner | 4711 Sunset Boulevard, Agape Primary Care At Twelve Mile Creek, Lexington, SC 29072 | 2009-11-17 |
| 1598090243 | Jill Marie Clemmons | Nurse Practitioner | University of Kentucky Department Of, 740 South Limestone St. Room A125, Lexington, KY 40536-0001 | 2009-10-14 |
| 1679712087 | Juliann Paige Matheny | Nurse Practitioner | 138 Leader Ave Suite 119, Lexington, KY 40506-3446 | 2009-02-09 |
| 1508967571 | Carol Lynn Thompson | Nurse Practitioner | Uk Division of Pulmonary Critical Care, 800 Rose Street, Lexington, KY 40536-0284 | 2006-09-25 |
| 1508868266 | Tonja A Gantt | Nurse Practitioner | 716 Old Cherokee Rd, Lexington, SC 29072-9406 | 2005-08-12 |
| 1083616064 | Debra Dellay | Nurse Practitioner | 989 Governors Ln, Ste 180, Lexington, KY 40513-1175 | 2005-08-10 |
| Find all providers in LEXINGTON | ||||
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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.