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 | 171000000X | Military Health Care Provider | | | | No |
| 2 | 261QD0000X | Clinic/Center | Dental | | | No |
| 3 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 4 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 5 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 6 | 261QV0200X | Clinic/Center | VA | | | No |
| 7 | 291900000X | Military Clinical Medical Laboratory | | | | No |
| 8 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 9 | 292200000X | Dental Laboratory | | | | No |
| 10 | 332S00000X | Hearing Aid Equipment | | | | No |
| 11 | 231H00000X | Audiologist | | AY1758 | FLORIDA | Yes |