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 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 2 | 2279P3800X | Respiratory Therapist, Registered | Palliative/Hospice | | | No |
| 3 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 4 | 207QA0505X | Family Medicine | Adult Medicine | | | No |
| 5 | 225100000X | Physical Therapist | | | | No |
| 6 | 251E00000X | Home Health | | | | No |
| 7 | 163WI0500X | Registered Nurse | Infusion Therapy | | | No |
| 8 | 207P00000X | Emergency Medicine | | | | No |
| 9 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |
| 10 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 11 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | | | No |
| 12 | 207RG0300X | Internal Medicine | Geriatric Medicine | | | No |
| 13 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 14 | 207R00000X | Internal Medicine | | | | Yes |