Basic Information
Provider Information
NPI: 1003146630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OVERBEY
FirstName: BARBARA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BARTON
OtherFirstName: BARBARA
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: FNP
OtherLastNameType: 1
Mailing Information
Address1: 825 RIDGE LAKE BLVD
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381209411
CountryCode: US
TelephoneNumber: 9016852200
FaxNumber: 9012592715
Practice Location
Address1: 825 RIDGE LAKE BLVD
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381209411
CountryCode: US
TelephoneNumber: 9016852200
FaxNumber: 9012592715
Other Information
ProviderEnumerationDate: 01/04/2010
LastUpdateDate: 01/05/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X14643TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
100314663005MO MEDICAID
0310881105MS MEDICAID
21061875805AR MEDICAID
P0109655901TNRR MEDICAREOTHER
Q00017305TN MEDICAID


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