CMS-1500 Box 24J / 33a • NPI
1003696246
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
133VN1201X (CMS 71)
Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered, Nutrition, Obesity and Weight Management
Box 32 Service Location & ZIP+4
1990 E CHANEYVILLE RD, OWINGS, MD, 20736-4355
✓ 9-Digit EDI 837 ZIP+4 (20736-4355)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1003696246 (MADDISON E CLOUTIER, RD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1003696246)
Medicare Beneficiaries
13
Total Billed Services
32
Distinct CPT/HCPCS Codes
2
Medicare Allowed Total
$894.28
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1003696246 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MADDISON E CLOUTIER, RD |
| Plain-English Specialty | Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered, Nutrition, Obesity and Weight Management NUCC Code: 133VN1201X (Dietitian, Registered, Nutrition, Obesity and Weight Management) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1990 E CHANEYVILLE RD, OWINGS, MD, 20736-4355 |
| Practice Telephone / Fax | Tel: (484) 636-7797 |
| Administrative Mailing Address | 8602 CHESAPEAKE LIGHTHOUSE DR, NORTH BEACH, MD, 20714-3070 |
| Enumeration & Last Sync | Enumerated: 2023-10-04 | CMS Record Updated: 2024-08-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (133VN1201X)
What Does Taxonomy Code 133VN1201X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133VN1201X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered, Nutrition, Obesity and Weight Management"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MADDISON E CLOUTIER, RD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
133VN1201X — Dietitian, Registered, Nutrition, Obesity and Weight ManagementPlain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered, Nutrition, Obesity and Weight Management | State: MD | License: DX6294 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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