βœ“ Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant (163WR0006X)

4JS LLC (NPI #1144732736)

Registered Nurse, Registered Nurse First Assistant • JACKSON, WY • Status: Active Federal Registration

Plain-English Taxonomy Translation (163WR0006X)

What Does Taxonomy Code 163WR0006X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WR0006X translates in plain language to:
"Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Registered Nurse, Registered Nurse First Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 4JS LLC:

High-Volume Clinical Procedures & Diagnostics:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic & Prescribing Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1144732736 (NPI-2 Organization / Facility)
Provider / Legal Name4JS LLC
Plain-English SpecialtyLicensed & Credentialed Registered Nurse, Registered Nurse First Assistant
NUCC Code: 163WR0006X (Registered Nurse, Registered Nurse First Assistant)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address625 E BROADWAY AVE, JACKSON, WY, 830018642
Practice Telephone / FaxTel: 307-733-2443 | Fax: 307-733-6912
Administrative Mailing AddressPO BOX 9871, JACKSON, WY, 830029871
Enumeration & Last SyncEnumerated: 2017-11-03 | Updated: 2018-10-17
Authorized OfficialJUSTIN TATTERSALL (president)

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

625 E BROADWAY AVE, JACKSON, WY, 830018642

πŸ—ΊοΈ Open in Google Maps & Parking βš™οΈ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
163WR0006X β€” Registered Nurse, Registered Nurse First Assistant
Plain English: Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant
State: WY | License: 30955 | Primary Taxonomy: Yes