Healthcare Provider Details

I. General information

NPI: 1538091491
Provider Name (Legal Business Name): OVERLAND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 W CAPSTONE CT STE B
HAYDEN ID
83835-8774
US

IV. Provider business mailing address

660 W CAPSTONE CT STE B
HAYDEN ID
83835-8774
US

V. Phone/Fax

Practice location:
  • Phone: 208-295-9778
  • Fax: 208-213-9369
Mailing address:
  • Phone: 208-295-9778
  • Fax: 208-213-9369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER OVERLAND
Title or Position: DR
Credential: NMD, LAC
Phone: 208-295-9778