CMS-1500 Box 24J / 33a • NPI
1992641294
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
3747A0650X
Licensed & Credentialed Technician, Attendant Care Provider
Box 32 Service Location & ZIP+4
20964 COUNTY RD 4, MORRILL, NE, 69358-3740
✓ 9-Digit EDI 837 ZIP+4 (69358-3740)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992641294 (AUTUM BRABAW) 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 | 1992641294 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AUTUM BRABAW |
| Plain-English Specialty | Licensed & Credentialed Technician, Attendant Care Provider NUCC Code: 3747A0650X (Technician, Attendant Care Provider) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 20964 COUNTY RD 4, MORRILL, NE, 69358-3740 |
| Practice Telephone / Fax | Tel: (402) 838-0211 |
| Administrative Mailing Address | 11011 Q ST STE 101C, OMAHA, NE, 68137-3700 |
| Enumeration & Last Sync | Enumerated: 2026-04-28 | CMS Record Updated: 2026-04-28 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (3747A0650X)
What Does Taxonomy Code 3747A0650X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747A0650X translates to:
"Licensed & Credentialed Technician, Attendant Care Provider"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AUTUM BRABAW)
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 |
|---|---|
3747A0650X — Technician, Attendant Care ProviderPlain English: Licensed & Credentialed Technician, Attendant Care Provider | State: N/A | License: Verified | Primary: Yes (Primary) |
372600000X — Adult CompanionPlain English: Licensed & Credentialed Adult Companion | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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