COURTNEY NICOLE MCFADDEN — NPI 1215558754 (Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant in BLOOMFIELD, IN)

CMS-1500 Box 24J / 33a • NPI

1215558754

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2355S0801X

Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant

Box 32 Service Location & ZIP+4

10503 E STATE ROAD 54, BLOOMFIELD, IN, 47424-6066

✓ 9-Digit EDI 837 ZIP+4 (47424-6066)

Practice Phone & Referral Fax

(812) 825-5623

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215558754 (COURTNEY NICOLE MCFADDEN) 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	`1215558754` (NPI-1 Individual Practitioner)
Provider / Legal Name	COURTNEY NICOLE MCFADDEN
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant NUCC Code: `2355S0801X` (Specialist/Technologist, Speech-Language Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10503 E STATE ROAD 54, BLOOMFIELD, IN, 47424-6066
Practice Telephone / Fax	Tel: (812) 825-5623
Administrative Mailing Address	252 THE WOODS, BEDFORD, IN, 47421-9377
Enumeration & Last Sync	Enumerated: 2020-05-06 \| CMS Record Updated: 2024-09-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10503 E STATE ROAD 54, BLOOMFIELD, IN, 47424-6066

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Plain-English Taxonomy & CMS Crosswalk (2355S0801X)

What Does Taxonomy Code 2355S0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2355S0801X translates to:
"Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant"

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 Specialist/Technologist, Speech-Language Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COURTNEY NICOLE MCFADDEN)

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
`2355S0801X` — Specialist/Technologist, Speech-Language Assistant Plain English: Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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COURTNEY NICOLE MCFADDEN (NPI #1215558754)