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 | 103T00000X | Psychologist | | | | No |
| 3 | 133N00000X | Nutritionist | | | | No |
| 4 | 163W00000X | Registered Nurse | | | | No |
| 5 | 170100000X | Medical Genetics, Ph.D. Medical Genetics | | | | No |
| 6 | 170300000X | Genetic Counselor, MS | | | | No |
| 7 | 173000000X | Legal Medicine | | | | No |
| 8 | 183500000X | Pharmacist | | | | No |
| 9 | 207N00000X | Dermatology | | | | No |
| 10 | 207R00000X | Internal Medicine | | | | No |
| 11 | 207SG0202X | Medical Genetics | Clinical Biochemical Genetics | | | No |
| 12 | 225X00000X | Occupational Therapist | | | | No |
| 13 | 364S00000X | Clinical Nurse Specialist | | | | No |
| 14 | 405300000X | Prevention Professional | | | | No |
| 15 | 225C00000X | Rehabilitation Counselor | | | | Yes |