CMS-1500 Box 24J / 33a • NPI
1962167304
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
172A00000X
Licensed & Credentialed Driver
Box 32 Service Location & ZIP+4
604 APPLEGATE ST, WINONA, MS, 38967
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962167304 (LILLIAN CLAIBORNE) 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 | 1962167304 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LILLIAN CLAIBORNE |
| Plain-English Specialty | Licensed & Credentialed Driver NUCC Code: 172A00000X (Driver) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 604 APPLEGATE ST, WINONA, MS, 38967 |
| Practice Telephone / Fax | Tel: (663) 803-9661 |
| Administrative Mailing Address | 604 APPLEGATE ST, WINONA, MS, 38967 |
| Enumeration & Last Sync | Enumerated: 2021-11-01 | CMS Record Updated: 2021-11-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (172A00000X)
What Does Taxonomy Code 172A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 172A00000X translates to:
"Licensed & Credentialed Driver"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LILLIAN CLAIBORNE)
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 |
|---|---|
172A00000X — DriverPlain English: Licensed & Credentialed Driver | State: MS | License: 800431801 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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