Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 2 | 305R00000X | Preferred Provider Organization | | | | No |
| 3 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 4 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 5 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 6 | 332BP3500X | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | | | No |
| 7 | 332S00000X | Hearing Aid Equipment | | | | No |
| 8 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 9 | 347C00000X | Private Vehicle | | | | No |
| 10 | 343800000X | Secured Medical Transport (VAN) | | | | Yes |