REBECCA KIMBERLY ADAMOLI, CNA — NPI 1376871095 (Licensed & Credentialed Nurse's Aide in SURPRISE, AZ)

CMS-1500 Box 24J / 33a • NPI

1376871095

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

376K00000X

Licensed & Credentialed Nurse's Aide

Box 32 Service Location & ZIP+4

17999 N. SURPRISE FARMS LOOP SOUTH, SURPRISE, AZ, 85388

Official NPPES Practice Location

Practice Phone & Referral Fax

(623) 876-7390

Fax: (626) 876-7361

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376871095 (REBECCA KIMBERLY ADAMOLI, CNA) 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	`1376871095` (NPI-1 Individual Practitioner)
Provider / Legal Name	REBECCA KIMBERLY ADAMOLI, CNA
Plain-English Specialty	Licensed & Credentialed Nurse's Aide NUCC Code: `376K00000X` (Nurse's Aide)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	17999 N. SURPRISE FARMS LOOP SOUTH, SURPRISE, AZ, 85388
Practice Telephone / Fax	Tel: (623) 876-7390 \| Fax: (626) 876-7361
Administrative Mailing Address	17999 N. SURPRISE FARMS LOOP SOUTH, SURPRISE, AZ, 85388
Enumeration & Last Sync	Enumerated: 2009-11-19 \| CMS Record Updated: 2009-11-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

17999 N. SURPRISE FARMS LOOP SOUTH, SURPRISE, AZ, 85388

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Plain-English Taxonomy & CMS Crosswalk (376K00000X)

What Does Taxonomy Code 376K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376K00000X translates to:
"Licensed & Credentialed Nurse's Aide"

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 Nurse's Aide for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (REBECCA KIMBERLY ADAMOLI, CNA)

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
`376K00000X` — Nurse's Aide Plain English: Licensed & Credentialed Nurse's Aide	State: AZ \| License: `CNA1000016676` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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REBECCA KIMBERLY ADAMOLI, CNA (NPI #1376871095)