βœ“ Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) (363LP0200X)

STEPHANIE HEATON ANDERSON, PNP, DNP, RNCS (NPI #1609087972)

Nurse Practitioner, Pediatrics • CANTON, GA • Status: Active Federal Registration

Plain-English Taxonomy Translation (208000000X)

What Does Taxonomy Code 208000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208000000X translates in plain language to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

Primary Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
When Patients Should Consult: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with STEPHANIE HEATON ANDERSON, PNP, DNP, RNCS:

High-Volume Clinical Procedures & Diagnostics:
  • Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
  • Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
  • Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
  • Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
  • Pediatric Asthma Nebulization & Spirometry Evaluation
Common Therapeutic & Prescribing Classes:
  • Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
  • WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
  • Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
  • Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1609087972 (NPI-1 Individual Practitioner)
Provider / Legal NameSTEPHANIE HEATON ANDERSON, PNP, DNP, RNCS
Plain-English SpecialtyBoard-Certified Pediatrician (Infant, Child & Adolescent Medicine)
NUCC Code: 363LP0200X (Nurse Practitioner, Pediatrics)
Certifying / Licensing BodyAmerican Board of Pediatrics (ABP)
Practice Location Address391 EAST MAIN STREET, 1 HISTORIC HAWKINS BUILDING, CANTON, GA, 301142712
Practice Telephone / FaxTel: 770-720-6963 | Fax: 770-720-6965
Administrative Mailing Address391 EAST MAIN STREET, CANTON, GA, 301142712
Enumeration & Last SyncEnumerated: 2007-05-25 | Updated: 2011-10-28

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

391 EAST MAIN STREET, 1 HISTORIC HAWKINS BUILDING, CANTON, GA, 301142712

πŸ—ΊοΈ Open in Google Maps & Parking βš™οΈ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363LP0200X β€” Nurse Practitioner, Pediatrics
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: GA | License: RN173488 | Primary Taxonomy: Yes
363LW0102X β€” Nurse Practitioner, Women's Health
Plain English: Licensed & Credentialed Nurse Practitioner, Women's Health
State: GA | License: RN173488 | Primary Taxonomy: Secondary
363LF0000X β€” Nurse Practitioner, Family
Plain English: Licensed & Credentialed Nurse Practitioner, Family
State: GA | License: RN173488 | Primary Taxonomy: Secondary
363LA2200X β€” Nurse Practitioner, Adult Health
Plain English: Licensed & Credentialed Nurse Practitioner, Adult Health
State: GA | License: RN173488 | Primary Taxonomy: Secondary