CMS-1500 Box 24J / 33a • NPI
1437218385
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WA2000X
Licensed & Credentialed Registered Nurse, Administrator
Box 32 Service Location & ZIP+4
101OKOLONA DRIVE, ERWIN, TN, 37650
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1437218385 (DEANDRIA MARIE BOGART, r.n.) 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 | 1437218385 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DEANDRIA MARIE BOGART, r.n. |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Administrator NUCC Code: 163WA2000X (Registered Nurse, Administrator) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 101OKOLONA DRIVE, ERWIN, TN, 37650 |
| Practice Telephone / Fax | Tel: (423) 743-9103 | Fax: (423) 743-9105 |
| Administrative Mailing Address | 101OKOLONA DRIVE, ERWIN, TN, 37650 |
| Enumeration & Last Sync | Enumerated: 2006-12-06 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (163WA2000X)
What Does Taxonomy Code 163WA2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WA2000X translates to:
"Licensed & Credentialed Registered Nurse, Administrator"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DEANDRIA MARIE BOGART, r.n.)
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 |
|---|---|
163WA2000X — Registered Nurse, AdministratorPlain English: Licensed & Credentialed Registered Nurse, Administrator | State: TN | License: rn0000100171 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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