KIYANA ABBOTT — NPI 1114809084 (Licensed & Credentialed Day Training/Habilitation Specialist in STOCKTON, CA)

CMS-1500 Box 24J / 33a • NPI

1114809084

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

373H00000X

Licensed & Credentialed Day Training/Habilitation Specialist

Box 32 Service Location & ZIP+4

2495 W MARCH LN STE 125, STOCKTON, CA, 95207-8224

✓ 9-Digit EDI 837 ZIP+4 (95207-8224)

Practice Phone & Referral Fax

(209) 465-1080

Fax: (209) 465-2709

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114809084 (KIYANA ABBOTT) 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	`1114809084` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIYANA ABBOTT
Plain-English Specialty	Licensed & Credentialed Day Training/Habilitation Specialist NUCC Code: `373H00000X` (Day Training/Habilitation Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2495 W MARCH LN STE 125, STOCKTON, CA, 95207-8224
Practice Telephone / Fax	Tel: (209) 465-1080 \| Fax: (209) 465-2709
Administrative Mailing Address	2495 W MARCH LN STE 125, STOCKTON, CA, 95207-8224
Enumeration & Last Sync	Enumerated: 2025-07-22 \| CMS Record Updated: 2025-07-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2495 W MARCH LN STE 125, STOCKTON, CA, 95207-8224

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Plain-English Taxonomy & CMS Crosswalk (373H00000X)

What Does Taxonomy Code 373H00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 373H00000X translates to:
"Licensed & Credentialed Day Training/Habilitation Specialist"

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 Day Training/Habilitation Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIYANA ABBOTT)

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
`373H00000X` — Day Training/Habilitation Specialist Plain English: Licensed & Credentialed Day Training/Habilitation Specialist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KIYANA ABBOTT (NPI #1114809084)