BRENDA T BANKS, lpn — NPI 1770064198 (Licensed & Credentialed Licensed Practical Nurse in MULLINS, SC)

CMS-1500 Box 24J / 33a • NPI

1770064198

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

164W00000X

Licensed & Credentialed Licensed Practical Nurse

Box 32 Service Location & ZIP+4

2647 OLIVET CEMETERY RD, MULLINS, SC, 29574-7506

✓ 9-Digit EDI 837 ZIP+4 (29574-7506)

Practice Phone & Referral Fax

(843) 430-8602

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770064198 (BRENDA T BANKS, lpn) 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	`1770064198` (NPI-1 Individual Practitioner)
Provider / Legal Name	BRENDA T BANKS, lpn
Plain-English Specialty	Licensed & Credentialed Licensed Practical Nurse NUCC Code: `164W00000X` (Licensed Practical Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2647 OLIVET CEMETERY RD, MULLINS, SC, 29574-7506
Practice Telephone / Fax	Tel: (843) 430-8602
Administrative Mailing Address	2647 OLIVET CEMETERY RD, MULLINS, SC, 29574-7506
Enumeration & Last Sync	Enumerated: 2018-08-23 \| CMS Record Updated: 2018-08-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2647 OLIVET CEMETERY RD, MULLINS, SC, 29574-7506

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Plain-English Taxonomy & CMS Crosswalk (164W00000X)

What Does Taxonomy Code 164W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"

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 Licensed Practical Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRENDA T BANKS, lpn)

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
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: SC \| License: `18124` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRENDA T BANKS, lpn (NPI #1770064198)