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 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251K00000X | Public Health or Welfare | | | | No |
| 4 | 251V00000X | Voluntary or Charitable | | | | No |
| 5 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 6 | 261Q00000X | Clinic/Center | | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 9 | 261QR1300X | Clinic/Center | Rural Health | | | No |
| 10 | 3336M0003X | Pharmacy | Managed Care Organization Pharmacy | | | No |
| 11 | 3416L0300X | Ambulance | Land Transport | | | No |
| 12 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 251S00000X | Community/Behavioral Health | | | | Yes |