CMS-1500 Box 24J / 33a • NPI
1184634065
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WC2100X
Licensed & Credentialed Registered Nurse, Continence Care
Box 32 Service Location & ZIP+4
11234 ANDERSON ST, LOMA LINDA, CA, 92354-2804
✓ 9-Digit EDI 837 ZIP+4 (92354-2804)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184634065 (ELIZABETH CAROL HILTABIDEL, MSN, RN, CWOCN) 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 | 1184634065 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ELIZABETH CAROL HILTABIDEL, MSN, RN, CWOCN |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Continence Care NUCC Code: 163WC2100X (Registered Nurse, Continence Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 11234 ANDERSON ST, LOMA LINDA, CA, 92354-2804 |
| Practice Telephone / Fax | Tel: (909) 558-7178 | Fax: (909) 558-0201 |
| Administrative Mailing Address | 1398 SEQUOIA DRIVE, LAKE ARROWHEAD, CA, 92352-2908 |
| Enumeration & Last Sync | Enumerated: 2006-08-09 | CMS Record Updated: 2025-09-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (163WC2100X)
What Does Taxonomy Code 163WC2100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WC2100X translates to:
"Licensed & Credentialed Registered Nurse, Continence Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ELIZABETH CAROL HILTABIDEL, MSN, RN, CWOCN)
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 |
|---|---|
163WC2100X — Registered Nurse, Continence CarePlain English: Licensed & Credentialed Registered Nurse, Continence Care | State: CA | License: 444557 | Primary: Yes (Primary) |
163WE0900X — Registered Nurse, Enterostomal TherapyPlain English: Licensed & Credentialed Registered Nurse, Enterostomal Therapy | State: CA | License: 444557 | Primary: Secondary |
163WW0000X — Registered Nurse, Wound CarePlain English: Licensed & Credentialed Registered Nurse, Wound Care | State: CA | License: 444557 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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