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 | 207VC0300X | Obstetrics & Gynecology | Complex Family Planning | | | No |
| 2 | 2085U0001X | Radiology | Diagnostic Ultrasound | | | No |
| 3 | 208000000X | Pediatrics | | | | No |
| 4 | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | | | No |
| 5 | 133VN1201X | Dietitian, Registered | Nutrition, Obesity and Weight Management | | | No |
| 6 | 208800000X | Urology | | | | No |
| 7 | 3336S0011X | Pharmacy | Specialty Pharmacy | | | No |
| 8 | 208D00000X | General Practice | | | | No |
| 9 | 1041C0700X | Social Worker | Clinical | | | No |
| 10 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 11 | 207SG0203X | Medical Genetics | Clinical Molecular Genetics | | | No |
| 12 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 13 | 207VE0102X | Obstetrics & Gynecology | Reproductive Endocrinology | | | No |
| 14 | 171400000X | Health and Wellness Coach | | | | No |
| 15 | 174400000X | Specialist | | | | Yes |