CMS-1500 Box 24J / 33a • NPI
1972893436
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171M00000X
Licensed & Credentialed Case Manager/Care Coordinator
Box 32 Service Location & ZIP+4
NORTH 371 SOUTHWEST HIGHLAND DRIVE, CROWNPOINT, NM, 87313
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972893436 (VERNA ANN KENNETH, BA, LSAA, CMS) 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 | 1972893436 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | VERNA ANN KENNETH, BA, LSAA, CMS |
| Plain-English Specialty | Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: 171M00000X (Case Manager/Care Coordinator) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | NORTH 371 SOUTHWEST HIGHLAND DRIVE, CROWNPOINT, NM, 87313 |
| Practice Telephone / Fax | Tel: (505) 786-2111 | Fax: (505) 786-5442 |
| Administrative Mailing Address | BOX 1144, CROWNPOINT, NM, 87313-1144 |
| Enumeration & Last Sync | Enumerated: 2011-04-18 | CMS Record Updated: 2011-04-18 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (171M00000X)
What Does Taxonomy Code 171M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (VERNA ANN KENNETH, BA, LSAA, CMS)
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 |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: NM | License: 0138591 | Primary: Secondary |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: NM | License: 0138591 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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