CMS-1500 Box 24J / 33a • NPI
1114489309
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1710I1003X
Licensed & Credentialed Military Health Care Provider, Independent Duty Medical Technicians
Box 32 Service Location & ZIP+4
UNIT 2022, APO, AP, 96264-2022
✓ 9-Digit EDI 837 ZIP+4 (96264-2022)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114489309 (ADELE J DAILEY, IDMT) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114489309 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ADELE J DAILEY, IDMT |
| Plain-English Specialty | Licensed & Credentialed Military Health Care Provider, Independent Duty Medical Technicians NUCC Code: 1710I1003X (Military Health Care Provider, Independent Duty Medical Technicians) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | UNIT 2022, APO, AP, 96264-2022 |
| Practice Telephone / Fax | Tel: (315) 782-4224 |
| Administrative Mailing Address | 8TH MEDICAL GROUP, APO, AP, 96264 |
| Enumeration & Last Sync | Enumerated: 2019-04-05 | CMS Record Updated: 2024-09-17 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (1710I1003X)
What Does Taxonomy Code 1710I1003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1710I1003X translates to:
"Licensed & Credentialed Military Health Care Provider, Independent Duty Medical Technicians"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADELE J DAILEY, IDMT)
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 |
|---|---|
1710I1003X — Military Health Care Provider, Independent Duty Medical TechniciansPlain English: Licensed & Credentialed Military Health Care Provider, Independent Duty Medical Technicians | State: TX | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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