CMS-1500 Box 24J / 33a • NPI
1255349973
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
213E00000X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist
Box 32 Service Location & ZIP+4
438 MAIN ST, SUITE 204, MIDDLETOWN, CT, 06457-3396
✓ 9-Digit EDI 837 ZIP+4 (06457-3396)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255349973 (KATHERINE CAROL ATTONG-JACKSON, DPM) 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 | 1255349973 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATHERINE CAROL ATTONG-JACKSON, DPM |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist NUCC Code: 213E00000X (Podiatrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 438 MAIN ST, SUITE 204, MIDDLETOWN, CT, 06457-3396 |
| Practice Telephone / Fax | Tel: (888) 964-6681 | Fax: (888) 662-0859 |
| Administrative Mailing Address | 888 WORCESTER ST, WELLESLEY, MA, 02482-3744 |
| Enumeration & Last Sync | Enumerated: 2006-08-05 | CMS Record Updated: 2014-10-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213E00000X)
What Does Taxonomy Code 213E00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213E00000X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KATHERINE CAROL ATTONG-JACKSON, DPM)
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 |
|---|---|
213E00000X — PodiatristPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist | State: CT | License: 000804 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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