CMS-1500 Box 24J / 33a • NPI
1609647247
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WR0400X
Licensed & Credentialed Registered Nurse, Rehabilitation
Box 32 Service Location & ZIP+4
672 GLOUCESTER RD, SALUDA, VA, 23149-2591
✓ 9-Digit EDI 837 ZIP+4 (23149-2591)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1609647247 (ANDREA CORINTHIAN-GREENE, RN) 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 | 1609647247 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANDREA CORINTHIAN-GREENE, RN |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Rehabilitation NUCC Code: 163WR0400X (Registered Nurse, Rehabilitation) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 672 GLOUCESTER RD, SALUDA, VA, 23149-2591 |
| Practice Telephone / Fax | Tel: (804) 843-9343 |
| Administrative Mailing Address | 616 SUN CT, NEWPORT NEWS, VA, 23605-1032 |
| Enumeration & Last Sync | Enumerated: 2024-01-11 | CMS Record Updated: 2024-01-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (163WR0400X)
What Does Taxonomy Code 163WR0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WR0400X translates to:
"Licensed & Credentialed Registered Nurse, Rehabilitation"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANDREA CORINTHIAN-GREENE, RN)
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 |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: VA | License: 00001145336 | Primary: Secondary |
163WN0002X — Registered Nurse, Neonatal Intensive CarePlain English: Licensed & Credentialed Registered Nurse, Neonatal Intensive Care | State: VA | License: 00001145336 | Primary: Secondary |
163WP0809X — Registered Nurse, Psych/Mental Health, AdultPlain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health, Adult | State: VA | License: 00001145336 | Primary: Secondary |
163WR0400X — Registered Nurse, RehabilitationPlain English: Licensed & Credentialed Registered Nurse, Rehabilitation | State: VA | License: 00001145336 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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