AMANDA DELORES ALLEN — NPI 1316345309 (Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment in WILSON, NC)

CMS-1500 Box 24J / 33a • NPI

1316345309

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

332BC3200X

Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment

Box 32 Service Location & ZIP+4

204 KENMORE ST N, WILSON, NC, 27893-1848

✓ 9-Digit EDI 837 ZIP+4 (27893-1848)

Practice Phone & Referral Fax

(252) 366-3191

Fax: (252) 399-1193

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316345309 (AMANDA DELORES ALLEN) 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	`1316345309` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMANDA DELORES ALLEN
Plain-English Specialty	Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment NUCC Code: `332BC3200X` (Durable Medical Equipment & Medical Supplies, Customized Equipment)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	204 KENMORE ST N, WILSON, NC, 27893-1848
Practice Telephone / Fax	Tel: (252) 366-3191 \| Fax: (252) 399-1193
Administrative Mailing Address	2105B FAIRMOUNT AVE, RICHMOND, VA, 23223-5137
Enumeration & Last Sync	Enumerated: 2014-12-08 \| CMS Record Updated: 2014-12-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

204 KENMORE ST N, WILSON, NC, 27893-1848

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Plain-English Taxonomy & CMS Crosswalk (332BC3200X)

What Does Taxonomy Code 332BC3200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332BC3200X translates to:
"Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment"

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 Durable Medical Equipment & Medical Supplies, Customized Equipment for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMANDA DELORES ALLEN)

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
`332BC3200X` — Durable Medical Equipment & Medical Supplies, Customized Equipment Plain English: Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMANDA DELORES ALLEN (NPI #1316345309)