CMS-1500 Box 24J / 33a • NPI
1205386026
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WE0003X
Licensed & Credentialed Registered Nurse, Emergency
Box 32 Service Location & ZIP+4
518 N 4TH ST, FLATWOODS, KY, 41139-1086
✓ 9-Digit EDI 837 ZIP+4 (41139-1086)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205386026 (KYONGMI ANDRE, RN) 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 | 1205386026 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KYONGMI ANDRE, RN |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Emergency NUCC Code: 163WE0003X (Registered Nurse, Emergency) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 518 N 4TH ST, FLATWOODS, KY, 41139-1086 |
| Practice Telephone / Fax | Tel: (606) 694-6840 |
| Administrative Mailing Address | 518 N 4TH ST, FLATWOODS, KY, 41139-1086 |
| Enumeration & Last Sync | Enumerated: 2016-10-04 | CMS Record Updated: 2016-10-04 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (163WE0003X)
What Does Taxonomy Code 163WE0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WE0003X translates to:
"Licensed & Credentialed Registered Nurse, Emergency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KYONGMI ANDRE, RN)
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 |
|---|---|
163WA2000X — Registered Nurse, AdministratorPlain English: Licensed & Credentialed Registered Nurse, Administrator | State: WV | License: 86666 | Primary: Secondary |
163WC1600X — Registered Nurse, Continuing Education/Staff DevelopmentPlain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development | State: WV | License: 86666 | Primary: Secondary |
163WC3500X — Registered Nurse, Cardiac RehabilitationPlain English: Licensed & Credentialed Nursing Service Providers, Registered Nurse, Cardiac Rehabilitation | State: WV | License: 86666 | Primary: Secondary |
163WE0003X — Registered Nurse, EmergencyPlain English: Licensed & Credentialed Registered Nurse, Emergency | State: WV | License: 86666 | Primary: Yes (Primary) |
163WM0705X — Registered Nurse, Medical-SurgicalPlain English: Licensed & Credentialed Registered Nurse, Medical-Surgical | State: WV | License: 86666 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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