ANDREA LIFE INVESTMENT ENTERPRISES — NPI 1033653233 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health in MILLCREEK, UT)

CMS-1500 Box 24J / 33a • NPI

1033653233

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

364SF0001X (CMS 89)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health

Box 32 Service Location & ZIP+4

4400 S 700 E STE 201, MILLCREEK, UT, 84107-3053

✓ 9-Digit EDI 837 ZIP+4 (84107-3053)

Practice Phone & Referral Fax

(801) 895-8903

Fax: (888) 312-5374

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033653233 (ANDREA LIFE INVESTMENT ENTERPRISES) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033653233` (NPI-2 Organization / Facility)
Provider / Legal Name	ANDREA LIFE INVESTMENT ENTERPRISES
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health NUCC Code: `364SF0001X` (Clinical Nurse Specialist, Family Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4400 S 700 E STE 201, MILLCREEK, UT, 84107-3053
Practice Telephone / Fax	Tel: (801) 895-8903 \| Fax: (888) 312-5374
Administrative Mailing Address	4400 S 700 E STE 201, MILLCREEK, UT, 84107-3053
Enumeration & Last Sync	Enumerated: 2016-12-07 \| CMS Record Updated: 2019-09-30
Authorized Official	ANDREA LOVING (Nurse Practitioner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4400 S 700 E STE 201, MILLCREEK, UT, 84107-3053

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Plain-English Taxonomy & CMS Crosswalk (364SF0001X)

What Does Taxonomy Code 364SF0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SF0001X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Nurse Specialist, Family Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREA LIFE INVESTMENT ENTERPRISES)

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

Common Therapeutic Classes:

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
`364SF0001X` — Clinical Nurse Specialist, Family Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health	State: UT \| License: `77715794405` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDREA LIFE INVESTMENT ENTERPRISES (NPI #1033653233)