TONYADEE VERNON — NPI 1619611811 (Licensed & Credentialed Nursing Home Administrator in GRANDVIEW, TX)

CMS-1500 Box 24J / 33a • NPI

1619611811

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

376G00000X

Licensed & Credentialed Nursing Home Administrator

Box 32 Service Location & ZIP+4

6329 COUNTY ROAD 304, GRANDVIEW, TX, 76050-3846

✓ 9-Digit EDI 837 ZIP+4 (76050-3846)

Practice Phone & Referral Fax

(817) 219-8690

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619611811 (TONYADEE VERNON) 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	`1619611811` (NPI-1 Individual Practitioner)
Provider / Legal Name	TONYADEE VERNON
Plain-English Specialty	Licensed & Credentialed Nursing Home Administrator NUCC Code: `376G00000X` (Nursing Home Administrator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6329 COUNTY ROAD 304, GRANDVIEW, TX, 76050-3846
Practice Telephone / Fax	Tel: (817) 219-8690
Administrative Mailing Address	6329 COUNTY ROAD 304, GRANDVIEW, TX, 76050-3846
Enumeration & Last Sync	Enumerated: 2022-04-24 \| CMS Record Updated: 2022-04-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6329 COUNTY ROAD 304, GRANDVIEW, TX, 76050-3846

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Plain-English Taxonomy & CMS Crosswalk (376G00000X)

What Does Taxonomy Code 376G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376G00000X translates to:
"Licensed & Credentialed Nursing Home Administrator"

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 Nursing Home Administrator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TONYADEE VERNON)

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
`376G00000X` — Nursing Home Administrator Plain English: Licensed & Credentialed Nursing Home Administrator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TONYADEE VERNON (NPI #1619611811)