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 | 163W00000X | Registered Nurse | | | | No |
| 2 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 3 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 4 | 347C00000X | Private Vehicle | | | | No |
| 5 | 347E00000X | Transportation Broker | | | | No |
| 6 | 385H00000X | Respite Care | | | | No |
| 7 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 8 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 9 | 252Y00000X | Early Intervention Provider Agency | | | | Yes |