KANESHA OVERTON MD
NPI 1114622040
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 31, 2023PECOS Enrolled
1959 NE PACIFIC ST, SEATTLE, WA 98195(202) 255-8773 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kanesha Overton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANESHA OVERTON MD (NPI 1114622040) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114622040
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKANESHA OVERTONCredential: MD
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing Address1959 Ne Pacific St Box 356510Seattle, WA 98195-0001 · (202) 255-8773
Sole ProprietorYes
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
NPI 1114622040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1959 NE PACIFIC ST, Seattle, WA 98195

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kanesha Overton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanesha Overton's NPI number?

The NPI number for Kanesha Overton is 1114622040. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Kanesha Overton located?

Kanesha Overton practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (202) 255-8773.

What is Kanesha Overton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kanesha Overton enrolled in Medicare?

Yes. Kanesha Overton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanesha Overton was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.