TINA RENEE LETCHWORTH, CPT-ASPT — NPI 1528279635 (Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management in SNOW HILL, NC)

CMS-1500 Box 24J / 33a • NPI

1528279635

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

246QL0900X

Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management

Box 32 Service Location & ZIP+4

227 KINGOLD BLVD STE B, SNOW HILL, NC, 28580-1303

✓ 9-Digit EDI 837 ZIP+4 (28580-1303)

Practice Phone & Referral Fax

(252) 747-8181

Fax: (252) 747-8946

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528279635 (TINA RENEE LETCHWORTH, CPT-ASPT) 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	`1528279635` (NPI-1 Individual Practitioner)
Provider / Legal Name	TINA RENEE LETCHWORTH, CPT-ASPT
Plain-English Specialty	Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management NUCC Code: `246QL0900X` (Spec/Tech, Pathology, Laboratory Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	227 KINGOLD BLVD STE B, SNOW HILL, NC, 28580-1303
Practice Telephone / Fax	Tel: (252) 747-8181 \| Fax: (252) 747-8946
Administrative Mailing Address	33 FRANKLIN JONES RD, HOOKERTON, NC, 28538-7168
Enumeration & Last Sync	Enumerated: 2007-05-24 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

227 KINGOLD BLVD STE B, SNOW HILL, NC, 28580-1303

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Plain-English Taxonomy & CMS Crosswalk (246QL0900X)

What Does Taxonomy Code 246QL0900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246QL0900X translates to:
"Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management"

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 Spec/Tech, Pathology, Laboratory Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TINA RENEE LETCHWORTH, CPT-ASPT)

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
`246QL0900X` — Spec/Tech, Pathology, Laboratory Management Plain English: Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management	State: NC \| License: `Verified` \| Primary: Yes (Primary)
`246RP1900X` — Technician, Pathology, Phlebotomy Plain English: Licensed & Credentialed Technician, Pathology, Phlebotomy	State: NC \| License: `Verified` \| Primary: Secondary

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TINA RENEE LETCHWORTH, CPT-ASPT (NPI #1528279635)