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 | 208C00000X | Colon & Rectal Surgery | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 305S00000X | Point of Service | | | | No |
| 5 | 332000000X | Military/U.S. Coast Guard Pharmacy | | | | No |
| 6 | 332100000X | Department of Veterans Affairs (VA) Pharmacy | | | | No |
| 7 | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | | | | No |
| 8 | 332900000X | Non-Pharmacy Dispensing Site | | | | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | No |
| 10 | 261QM1100X | Clinic/Center | Military/U.S. Coast Guard Outpatient | | | No |
| 11 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 12 | 3336C0003X | Pharmacy | Community/Retail Pharmacy | | | No |
| 13 | 3336S0011X | Pharmacy | Specialty Pharmacy | | | No |
| 14 | 376K00000X | Nurse's Aide | | | | No |
| 15 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | Yes |
