KARLIE AMEN — NPI 1215642830 (Licensed & Credentialed Dental Hygienist in IVINS, UT)

CMS-1500 Box 24J / 33a • NPI

1215642830

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

124Q00000X

Licensed & Credentialed Dental Hygienist

Box 32 Service Location & ZIP+4

272 E CENTER ST STE 205, IVINS, UT, 84738-6458

✓ 9-Digit EDI 837 ZIP+4 (84738-6458)

Practice Phone & Referral Fax

(435) 652-8111

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215642830 (KARLIE AMEN) 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	`1215642830` (NPI-1 Individual Practitioner)
Provider / Legal Name	KARLIE AMEN
Plain-English Specialty	Licensed & Credentialed Dental Hygienist NUCC Code: `124Q00000X` (Dental Hygienist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	272 E CENTER ST STE 205, IVINS, UT, 84738-6458
Practice Telephone / Fax	Tel: (435) 652-8111
Administrative Mailing Address	370 BUENA VISTA BLVD UNIT 17, WASHINGTON, UT, 84780-2664
Enumeration & Last Sync	Enumerated: 2023-01-18 \| CMS Record Updated: 2023-01-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

272 E CENTER ST STE 205, IVINS, UT, 84738-6458

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Plain-English Taxonomy & CMS Crosswalk (124Q00000X)

What Does Taxonomy Code 124Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 124Q00000X translates to:
"Licensed & Credentialed Dental Hygienist"

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 Dental Hygienist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KARLIE AMEN)

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
`124Q00000X` — Dental Hygienist Plain English: Licensed & Credentialed Dental Hygienist	State: UT \| License: `13173398-9920` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KARLIE AMEN (NPI #1215642830)