KAY LOUISE ANDERSON, RNC,CDE — NPI 1083907075 (Licensed & Credentialed Registered Nurse, Diabetes Educator in SUMMIT, NJ)

CMS-1500 Box 24J / 33a • NPI

1083907075

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WD0400X

Licensed & Credentialed Registered Nurse, Diabetes Educator

Box 32 Service Location & ZIP+4

11 OVERLOOK RD, SUITE LL102, SUMMIT, NJ, 07901-3577

✓ 9-Digit EDI 837 ZIP+4 (07901-3577)

Practice Phone & Referral Fax

(908) 522-5512

Fax: (908) 522-5858

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083907075 (KAY LOUISE ANDERSON, RNC,CDE) 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	`1083907075` (NPI-1 Individual Practitioner)
Provider / Legal Name	KAY LOUISE ANDERSON, RNC,CDE
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Diabetes Educator NUCC Code: `163WD0400X` (Registered Nurse, Diabetes Educator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11 OVERLOOK RD, SUITE LL102, SUMMIT, NJ, 07901-3577
Practice Telephone / Fax	Tel: (908) 522-5512 \| Fax: (908) 522-5858
Administrative Mailing Address	11 OVERLOOK RD, SUMMIT, NJ, 07901-3577
Enumeration & Last Sync	Enumerated: 2011-05-24 \| CMS Record Updated: 2011-05-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11 OVERLOOK RD, SUITE LL102, SUMMIT, NJ, 07901-3577

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Plain-English Taxonomy & CMS Crosswalk (163WD0400X)

What Does Taxonomy Code 163WD0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WD0400X translates to:
"Licensed & Credentialed Registered Nurse, Diabetes Educator"

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 Registered Nurse, Diabetes Educator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KAY LOUISE ANDERSON, RNC,CDE)

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
`163WD0400X` — Registered Nurse, Diabetes Educator Plain English: Licensed & Credentialed Registered Nurse, Diabetes Educator	State: NJ \| License: `26NR08727000` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KAY LOUISE ANDERSON, RNC,CDE (NPI #1083907075)