SHAUWANNA NICOLE EDWARDS — NPI 1184493116 (Licensed & Credentialed Residential Treatment Facility, Physical Disabilities in HOOKERTON, NC)

CMS-1500 Box 24J / 33a • NPI

1184493116

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

320700000X

Licensed & Credentialed Residential Treatment Facility, Physical Disabilities

Box 32 Service Location & ZIP+4

504 BRICK KITCHEN RD, HOOKERTON, NC, 28538-7010

✓ 9-Digit EDI 837 ZIP+4 (28538-7010)

Practice Phone & Referral Fax

(252) 525-3997

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184493116 (SHAUWANNA NICOLE EDWARDS) 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	`1184493116` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHAUWANNA NICOLE EDWARDS
Plain-English Specialty	Licensed & Credentialed Residential Treatment Facility, Physical Disabilities NUCC Code: `320700000X` (Residential Treatment Facility, Physical Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	504 BRICK KITCHEN RD, HOOKERTON, NC, 28538-7010
Practice Telephone / Fax	Tel: (252) 525-3997
Administrative Mailing Address	504 BRICK KITCHEN RD, HOOKERTON, NC, 28538-7010
Enumeration & Last Sync	Enumerated: 2024-01-02 \| CMS Record Updated: 2024-01-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

504 BRICK KITCHEN RD, HOOKERTON, NC, 28538-7010

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Plain-English Taxonomy & CMS Crosswalk (320700000X)

What Does Taxonomy Code 320700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320700000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Physical Disabilities"

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 Residential Treatment Facility, Physical Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHAUWANNA NICOLE EDWARDS)

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
`251C00000X` — Day Training, Developmentally Disabled Services Plain English: Licensed & Credentialed Day Training, Developmentally Disabled Services	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0625X` — Assisted Living Facility, Assisted Living, Mental Illness Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: N/A \| License: `Verified` \| Primary: Secondary
`320600000X` — Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`320800000X` — Community Based Residential Treatment Facility, Mental Illness Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness	State: NC \| License: `Verified` \| Primary: Secondary
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: N/A \| License: `Verified` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2065X` — Respite Care, Respite Care, Physical Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Physical Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`320700000X` — Residential Treatment Facility, Physical Disabilities Plain English: Licensed & Credentialed Residential Treatment Facility, Physical Disabilities	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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SHAUWANNA NICOLE EDWARDS (NPI #1184493116)