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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 101YP2500X | Counselor | Professional | | | No |
| 3 | 103K00000X | Behavior Analyst | | | | No |
| 4 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 5 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 6 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 7 | 207K00000X | Allergy & Immunology | | | | No |
| 8 | 207Q00000X | Family Medicine | | | | Yes |
| 9 | 207R00000X | Internal Medicine | | | | No |
| 10 | 207ZP0105X | Pathology | Clinical Pathology/Laboratory Medicine | | | No |
| 11 | 2080I0007X | Pediatrics | Clinical & Laboratory Immunology | | | No |
| 12 | 225100000X | Physical Therapist | | | | No |
| 13 | 225X00000X | Occupational Therapist | | | | No |
| 14 | 261QX0100X | Clinic/Center | Occupational Medicine | | | No |
| 15 | 364SX0106X | Clinical Nurse Specialist | Occupational Health | | | No |