CMS-1500 Box 24J / 33a • NPI
1740305697
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WD0400X
Licensed & Credentialed Registered Nurse, Diabetes Educator
Box 32 Service Location & ZIP+4
905 UNION ST, SUITE 11, BANGOR, ME, 04401-3050
✓ 9-Digit EDI 837 ZIP+4 (04401-3050)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1740305697 (LINDA A. JOHNSON, 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 | 1740305697 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LINDA A. JOHNSON, RN |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Diabetes Educator NUCC Code: 163WD0400X (Registered Nurse, Diabetes Educator) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 905 UNION ST, SUITE 11, BANGOR, ME, 04401-3050 |
| Practice Telephone / Fax | Tel: (207) 973-7334 | Fax: (207) 973-7424 |
| Administrative Mailing Address | 692 COOK RD, CARMEL, ME, 04419-3723 |
| Enumeration & Last Sync | Enumerated: 2007-03-20 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (163WD0400X)
What Does Taxonomy Code 163WD0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WD0400X translates to:
"Licensed & Credentialed Registered Nurse, Diabetes Educator"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LINDA A. JOHNSON, 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 |
|---|---|
163WD0400X — Registered Nurse, Diabetes EducatorPlain English: Licensed & Credentialed Registered Nurse, Diabetes Educator | State: ME | License: R046117 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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