CMS-1500 Box 24J / 33a • NPI
1790515518
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
376K00000X
Licensed & Credentialed Nurse's Aide
Box 32 Service Location & ZIP+4
101 N MARKET ST, BENSON, NC, 27504-1514
✓ 9-Digit EDI 837 ZIP+4 (27504-1514)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790515518 (KATINA M BLUE, PHD) 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 | 1790515518 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATINA M BLUE, PHD |
| Plain-English Specialty | Licensed & Credentialed Nurse's Aide NUCC Code: 376K00000X (Nurse's Aide) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 101 N MARKET ST, BENSON, NC, 27504-1514 |
| Practice Telephone / Fax | Tel: (919) 404-9006 | Fax: (919) 661-8195 |
| Administrative Mailing Address | 264 MERIDIAN DR, GARNER, NC, 27529-6899 |
| Enumeration & Last Sync | Enumerated: 2024-08-06 | CMS Record Updated: 2024-08-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (376K00000X)
What Does Taxonomy Code 376K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376K00000X translates to:
"Licensed & Credentialed Nurse's Aide"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KATINA M BLUE, PHD)
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 |
|---|---|
3747P1801X — Technician, Personal Care AttendantPlain English: Licensed & Credentialed Technician, Personal Care Attendant | State: NC | License: Verified | Primary: Secondary |
3747P1801X — Technician, Personal Care AttendantPlain English: Licensed & Credentialed Technician, Personal Care Attendant | State: N/A | License: Verified | Primary: Secondary |
376K00000X — Nurse's AidePlain English: Licensed & Credentialed Nurse's Aide | State: NC | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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