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 | 251E00000X | Home Health | | | | No |
| 2 | 261QA1903X | Clinic/Center | Ambulatory Surgical | | | No |
| 3 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 4 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 5 | 282N00000X | General Acute Care Hospital | | | | Yes |
| 6 | 282NC0060X | General Acute Care Hospital | Critical Access | | | No |
| 7 | 283Q00000X | Psychiatric Hospital | | | | No |
| 8 | 284300000X | Special Hospital | | | | No |
| 9 | 314000000X | Skilled Nursing Facility | | | | No |
| 10 | 315D00000X | Hospice, Inpatient | | | | No |
| 11 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |