Provider Demographics
NPI:1932258498
Name:OVERMEYER, KAREN ANN (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:OVERMEYER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 PEACHTREE BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-288-1788
Mailing Address - Fax:804-288-1644
Practice Address - Street 1:1007 PEACHTREE BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-288-1788
Practice Address - Fax:804-288-1644
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024073306363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010198798Medicaid
VA008240B62Medicare ID - Type Unspecified