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 | 103K00000X | Behavior Analyst | | | | No |
| 2 | 207PS0010X | Emergency Medicine | Sports Medicine | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 6 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 7 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 8 | 261QM1000X | Clinic/Center | Migrant Health | | | No |
| 9 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 10 | 261QP3300X | Clinic/Center | Pain | | | No |
| 11 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 12 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 13 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 14 | 207Q00000X | Family Medicine | | | | Yes |