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 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | 0101268047 | DISTRICT OF COLUMBIA | No |
| 2 | 208D00000X | General Practice | | 0101268047 | DISTRICT OF COLUMBIA | No |
| 3 | 261QP0904X | Clinic/Center | Public Health, Federal | | DISTRICT OF COLUMBIA | No |
| 4 | 171000000X | Military Health Care Provider | | | DISTRICT OF COLUMBIA | Yes |
| 5 | 208M00000X | Hospitalist | | 0101268047 | DISTRICT OF COLUMBIA | No |
| 6 | 207Q00000X | Family Medicine | | 0101268047 | DISTRICT OF COLUMBIA | No |
| 7 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 8 | 207R00000X | Internal Medicine | | 0101268047 | DISTRICT OF COLUMBIA | No |
| 9 | 261QP2300X | Clinic/Center | Primary Care | 0101268047 | DISTRICT OF COLUMBIA | No |
