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 | 207RB0002X | Internal Medicine | Obesity Medicine | | | No |
| 2 | 171400000X | Health and Wellness Coach | | | | No |
| 3 | 207RG0300X | Internal Medicine | Geriatric Medicine | | | No |
| 4 | 183500000X | Pharmacist | | | | No |
| 5 | 207RH0005X | Internal Medicine | Hypertension Specialist | | | No |
| 6 | 2083C0008X | Preventive Medicine | Clinical Informatics | | | No |
| 7 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
| 8 | 2084B0040X | Psychiatry & Neurology | Behavioral Neurology & Neuropsychiatry | | | No |
| 9 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 10 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 11 | 225100000X | Physical Therapist | | | | No |
| 12 | 225500000X | Specialist/Technologist | | | | No |
| 13 | 246Z00000X | Specialist/Technologist, Other | | | | No |
| 14 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |