DESIRAE AMBER-KAY ALLEN — NPI 1427563410 (Licensed & Credentialed Community Health Worker in APTOS, CA)

CMS-1500 Box 24J / 33a • NPI

1427563410

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

172V00000X

Licensed & Credentialed Community Health Worker

Box 32 Service Location & ZIP+4

9057 SOQUEL DR, BUILDING C, SUITE A, APTOS, CA, 95003

Official NPPES Practice Location

Practice Phone & Referral Fax

(252) 722-1128

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1427563410 (DESIRAE AMBER-KAY 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	`1427563410` (NPI-1 Individual Practitioner)
Provider / Legal Name	DESIRAE AMBER-KAY ALLEN
Plain-English Specialty	Licensed & Credentialed Community Health Worker NUCC Code: `172V00000X` (Community Health Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9057 SOQUEL DR, BUILDING C, SUITE A, APTOS, CA, 95003
Practice Telephone / Fax	Tel: (252) 722-1128
Administrative Mailing Address	8979 WEAVER CT, GILROY, CA, 95020-7234
Enumeration & Last Sync	Enumerated: 2017-12-12 \| CMS Record Updated: 2023-06-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9057 SOQUEL DR, BUILDING C, SUITE A, APTOS, CA, 95003

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Plain-English Taxonomy & CMS Crosswalk (172V00000X)

What Does Taxonomy Code 172V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 172V00000X translates to:
"Licensed & Credentialed Community Health Worker"

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 Community Health Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DESIRAE AMBER-KAY 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
`172V00000X` — Community Health Worker Plain English: Licensed & Credentialed Community Health Worker	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DESIRAE AMBER-KAY ALLEN (NPI #1427563410)