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 | 163WG0000X | Registered Nurse | General Practice | | | No |
| 3 | 163WM0705X | Registered Nurse | Medical-Surgical | | | No |
| 4 | 163WP0000X | Registered Nurse | Pain Management | | | No |
| 5 | 163WR0400X | Registered Nurse | Rehabilitation | | | No |
| 6 | 163WX0800X | Registered Nurse | Orthopedic | | | No |
| 7 | 164W00000X | Licensed Practical Nurse | | | | No |
| 8 | 204D00000X | Neuromusculoskeletal Medicine & OMM | | | | No |
| 9 | 207Q00000X | Family Medicine | | | | No |
| 10 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 11 | 2081N0008X | Physical Medicine & Rehabilitation | Neuromuscular Medicine | | | No |
| 12 | 2081S0010X | Physical Medicine & Rehabilitation | Sports Medicine | | | No |
| 13 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 14 | 225400000X | Rehabilitation Practitioner | | | | No |
| 15 | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | | | | Yes |