LINDA KRYSTLE MORALES OVERTON (NPI# 1497226377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497226377 |
| Entity Type | Individual |
| Full Name | LINDA KRYSTLE MORALES OVERTON |
| Credential | CST |
| Practice Address |
1828 S Millenium Way Ste 100 Meridian ID 83642-5036 |
| Mailing Address |
3636 W Palouse St Boise ID 83705-3244 |
| Practice Telephone | 2083810262 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1828 S MILLENIUM WAY STE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770865495 | Heidi Davies | Specialist/Technologist, Other | 121 E Victory Rd, Apt L203, Meridian, ID 83642-6633 | 2011-09-20 |
| 1831420389 | Tammy Faucette | Specialist/Technologist, Other | 1200 22nd Ave, Meridian, MS 39301-4009 | 2010-01-22 |
| 1265829303 | Genesis Surgical Assisting LLC | Specialist/Technologist, Other | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669978516 | Terra Lee Lawson-gilbert | Specialist/Technologist, Other | 10081 N Government Way, Hayden, ID 83835-9677 | 2018-03-31 |
| 1841663507 | Samantha Molbert | Specialist/Technologist, Other | 1435 Scorpius Dr, Idaho Falls, ID 83402-1805 | 2015-11-03 |
| 1104205962 | Mary Parsons | Specialist/Technologist, Other | 590 W Two Rivers Dr, Eagle, ID 83616-7121 | 2015-05-27 |
| 1578826194 | Treasure Valley Surgical Assistants | Specialist/Technologist, Other | 128 Peasley St, Boise, ID 83705-1641 | 2012-06-19 |
| 1720315823 | Anna's Assisting PC | Specialist/Technologist, Other | 4401 E Tuscany Ave, Nampa, ID 83686-5082 | 2009-11-10 |
| 1740346188 | Vera Pauline Thomas | Specialist/Technologist, Other | 240 S Delphinium Ave, Star, ID 83669-5275 | 2006-12-29 |
| 1184110827 | Kristine Renae Allen | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-07-05 |
| 1639667900 | Ronald Allen Bristow | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-04-23 |
| 1326541079 | Alison Stenson | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-03-08 |
| 1578078465 | Heather Berger | Specialist/Technologist, Other | 1075 N Curtis Rd Ste 101, Boise, ID 83706-1348 | 2017-12-13 |
| 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.