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 | 101Y00000X | Counselor | | | | No |
| 2 | 103K00000X | Behavior Analyst | | | | No |
| 3 | 104100000X | Social Worker | | | | No |
| 4 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 5 | 163W00000X | Registered Nurse | | RN227487 | GEORGIA | No |
| 6 | 163WC0400X | Registered Nurse | Case Management | RN227487 | GEORGIA | No |
| 7 | 163WC1500X | Registered Nurse | Community Health | RN227487 | GEORGIA | No |
| 8 | 163WC1600X | Registered Nurse | Continuing Education/Staff Development | RN227487 | GEORGIA | No |
| 9 | 163WG0000X | Registered Nurse | General Practice | RN227487 | GEORGIA | No |
| 10 | 163WH0200X | Registered Nurse | Home Health | RN227487 | GEORGIA | No |
| 11 | 163WN1003X | Registered Nurse | Nutrition Support | RN227487 | GEORGIA | No |
| 12 | 175F00000X | Naturopath | | | | No |
| 13 | 364SH1100X | Clinical Nurse Specialist | Holistic | RN227487 | GEORGIA | No |
| 14 | 405300000X | Prevention Professional | | RN227487 | GEORGIA | No |
| 15 | 364SC1501X | Clinical Nurse Specialist | Community Health/Public Health | RN227487 | GEORGIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | RN227487 | OTHER | GEORGIA | NON PHYSICIAN PRACTIONER |
