MEDICARE: MS. KATELYN NICOLE OVERFIELD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	28202419A	IN
2	363L00000X	Nurse Practitioner	71013731A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922707793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATELYN NICOLE OVERFIELD NP

Provider Business Mailing Address
First Line	:	8450 NORTHWEST BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-1381
Country	:	US
Telephone Number	:	317-802-2000
Fax Number	:	317-802-2170

Provider Business Practice Location Address
First Line	:	8450 NORTHWEST BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-1381
Country	:	US
Telephone Number	:	317-802-2000
Fax Number	:	317-802-2170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	04/20/2026

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