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 | 363LA2200X | Nurse Practitioner | Adult Health | 710040710A | INDIANA | No |
| 2 | 363LA2200X | Nurse Practitioner | Adult Health | 3004548 | KENTUCKY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1233814 | OTHER | KENTUCKY | WELLCARE OF KY PROVIDER ID NUMBER |
| 2 | CS1809600114 | OTHER | | CARESOURCE ID |
| 3 | 9168085 | OTHER | | CIGNA PROVIDER ID NUMBER |
| 4 | 000001004596 | OTHER | | ANTHEM ID |
| 5 | 300006948 | MEDICAID | INDIANA | |
| 6 | 7452751 | OTHER | | AETNA PIN |
| 7 | 002626273 | OTHER | | UNITED HEALTHCARE PROVIDER ID NUMBER |
| 8 | 78016219 | MEDICAID | KENTUCKY | |
| 9 | PDZ000000060717 | OTHER | | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |