CMS-1500 Box 24J / 33a • NPI
1730458621
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
176B00000X
Licensed & Credentialed Midwife
Box 32 Service Location & ZIP+4
225 INSPIRATION LN, COVINGTON, LA, 70433-7420
✓ 9-Digit EDI 837 ZIP+4 (70433-7420)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1730458621 (SALLY ELIZABETH ACOSTA, CPM, LM) 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 | 1730458621 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SALLY ELIZABETH ACOSTA, CPM, LM |
| Plain-English Specialty | Licensed & Credentialed Midwife NUCC Code: 176B00000X (Midwife) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 225 INSPIRATION LN, COVINGTON, LA, 70433-7420 |
| Practice Telephone / Fax | Tel: (985) 259-3557 | Fax: (985) 893-8742 |
| Administrative Mailing Address | 225 INSPIRATION LN, COVINGTON, LA, 70433-7420 |
| Enumeration & Last Sync | Enumerated: 2011-12-21 | CMS Record Updated: 2011-12-21 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (176B00000X)
What Does Taxonomy Code 176B00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 176B00000X translates to:
"Licensed & Credentialed Midwife"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SALLY ELIZABETH ACOSTA, CPM, LM)
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 |
|---|---|
176B00000X — MidwifePlain English: Licensed & Credentialed Midwife | State: LA | License: MDW.200006 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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