HESTON J ALLRED — NPI 1063012789 (Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic in NORMAL, IL)

CMS-1500 Box 24J / 33a • NPI

1063012789

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

246ZE0600X

Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic

Box 32 Service Location & ZIP+4

1604 VISA DR STE 1, NORMAL, IL, 61761-2195

✓ 9-Digit EDI 837 ZIP+4 (61761-2195)

Practice Phone & Referral Fax

(309) 846-4716

Fax: (309) 454-7348

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063012789 (HESTON J ALLRED) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063012789` (NPI-1 Individual Practitioner)
Provider / Legal Name	HESTON J ALLRED
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic NUCC Code: `246ZE0600X` (Specialist/Technologist, Other, Electroneurodiagnostic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1604 VISA DR STE 1, NORMAL, IL, 61761-2195
Practice Telephone / Fax	Tel: (309) 846-4716 \| Fax: (309) 454-7348
Administrative Mailing Address	1604 VISA DR STE 1, NORMAL, IL, 61761-2195
Enumeration & Last Sync	Enumerated: 2020-10-30 \| CMS Record Updated: 2020-10-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1604 VISA DR STE 1, NORMAL, IL, 61761-2195

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Plain-English Taxonomy & CMS Crosswalk (246ZE0600X)

What Does Taxonomy Code 246ZE0600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246ZE0600X translates to:
"Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other, Electroneurodiagnostic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HESTON J ALLRED)

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
`246ZE0600X` — Specialist/Technologist, Other, Electroneurodiagnostic Plain English: Licensed & Credentialed Specialist/Technologist, Other, Electroneurodiagnostic	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HESTON J ALLRED (NPI #1063012789)