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 | 101YP1600X | Counselor | Pastoral | | | No |
| 2 | 172A00000X | Driver | | | | No |
| 3 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 4 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 5 | 332BD1200X | Durable Medical Equipment & Medical Supplies | Dialysis Equipment & Supplies | | | No |
| 6 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 7 | 332BP3500X | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | | | No |
| 8 | 332BX2000X | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies | | | No |
| 9 | 332U00000X | Home Delivered Meals | | | | No |
| 10 | 335G00000X | Medical Foods Supplier | | | | No |
| 11 | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | | | | No |
| 12 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 13 | 347E00000X | Transportation Broker | | | | No |
| 14 | 374T00000X | Religious Nonmedical Nursing Personnel | | | | No |
| 15 | 343900000X | Non-emergency Medical Transport (VAN) | | | | Yes |
