CMS-1500 Box 24J / 33a • NPI
1235777889
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
163WR0400X
Licensed & Credentialed Registered Nurse, Rehabilitation
Box 32 Service Location & ZIP+4
234 CODY LANE, CARDIAC REHAB BASALT, BASALT, CO, 81621
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1235777889 (ASPEN VALLEY HOSPITAL DISTRICT) 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 | 1235777889 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ASPEN VALLEY HOSPITAL DISTRICT |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Rehabilitation NUCC Code: 163WR0400X (Registered Nurse, Rehabilitation) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 234 CODY LANE, CARDIAC REHAB BASALT, BASALT, CO, 81621 |
| Practice Telephone / Fax | Tel: (709) 544-1383 |
| Administrative Mailing Address | 401 CASTLE CREEK ROAD, ASPEN, CO, 81611-1159 |
| Enumeration & Last Sync | Enumerated: 2019-12-13 | CMS Record Updated: 2026-04-08 |
| Authorized Official | STEVEN KNOWLES (Compliance Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (163WR0400X)
What Does Taxonomy Code 163WR0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WR0400X translates to:
"Licensed & Credentialed Registered Nurse, Rehabilitation"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ASPEN VALLEY HOSPITAL DISTRICT)
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 |
|---|---|
163WR0400X — Registered Nurse, RehabilitationPlain English: Licensed & Credentialed Registered Nurse, Rehabilitation | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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