CMS-1500 Box 24J / 33a • NPI
1518152552
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LW0102X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health
Box 32 Service Location & ZIP+4
480 E MAIN ST, FAIRFIELD, TX, 75840-4313
✓ 9-Digit EDI 837 ZIP+4 (75840-4313)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1518152552 (ANGELA KAY ANDINO, RNC,WHCNP) 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 | 1518152552 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANGELA KAY ANDINO, RNC,WHCNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health NUCC Code: 363LW0102X (Nurse Practitioner, Women's Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 480 E MAIN ST, FAIRFIELD, TX, 75840-4313 |
| Practice Telephone / Fax | Tel: (903) 731-5261 |
| Administrative Mailing Address | 7765 KELLY LYNN LN, WATAUGA, TX, 76148-2434 |
| Enumeration & Last Sync | Enumerated: 2007-09-12 | CMS Record Updated: 2014-02-19 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LW0102X)
What Does Taxonomy Code 363LW0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LW0102X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANGELA KAY ANDINO, RNC,WHCNP)
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 |
|---|---|
363LW0102X — Nurse Practitioner, Women's HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health | State: TX | License: 570878 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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