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 | 164W00000X | Licensed Practical Nurse | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 251J00000X | Nursing Care | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 7 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 8 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 9 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 10 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 12 | 376K00000X | Nurse's Aide | | | | No |
| 13 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | Yes |