KRISTEN BROWN PURDY, RN — NPI 1992306963 (Licensed & Credentialed Registered Nurse, Community Health in IVA, SC)

CMS-1500 Box 24J / 33a • NPI

1992306963

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WC1500X

Licensed & Credentialed Registered Nurse, Community Health

Box 32 Service Location & ZIP+4

121B MULLBERRY LN, IVA, SC, 29655-8783

✓ 9-Digit EDI 837 ZIP+4 (29655-8783)

Practice Phone & Referral Fax

(864) 314-2601

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1992306963 (KRISTEN BROWN PURDY, 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

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	`1992306963` (NPI-1 Individual Practitioner)
Provider / Legal Name	KRISTEN BROWN PURDY, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Community Health NUCC Code: `163WC1500X` (Registered Nurse, Community Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	121B MULLBERRY LN, IVA, SC, 29655-8783
Practice Telephone / Fax	Tel: (864) 314-2601
Administrative Mailing Address	121B MULLBERRY LN, IVA, SC, 29655-8783
Enumeration & Last Sync	Enumerated: 2020-11-05 \| CMS Record Updated: 2020-11-05

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

121B MULLBERRY LN, IVA, SC, 29655-8783

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Plain-English Taxonomy & CMS Crosswalk (163WC1500X)

What Does Taxonomy Code 163WC1500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WC1500X translates to:
"Licensed & Credentialed Registered Nurse, Community Health"

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 Registered Nurse, Community Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KRISTEN BROWN PURDY, 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

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
`163WC0400X` — Registered Nurse, Case Management Plain English: Licensed & Credentialed Registered Nurse, Case Management	State: SC \| License: `236607` \| Primary: Secondary
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: SC \| License: `236607` \| Primary: Yes (Primary)

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KRISTEN BROWN PURDY, RN (NPI #1992306963)