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 | 163WG0000X | Registered Nurse | General Practice | | | No |
| 3 | 133N00000X | Nutritionist | | | | No |
| 4 | 133VN1201X | Dietitian, Registered | Nutrition, Obesity and Weight Management | | | No |
| 5 | 207R00000X | Internal Medicine | | | | No |
| 6 | 163WN1003X | Registered Nurse | Nutrition Support | | | No |
| 7 | 208000000X | Pediatrics | | | | No |
| 8 | 2080B0002X | Pediatrics | Obesity Medicine | | | No |
| 9 | 207Q00000X | Family Medicine | | | | No |
| 10 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
| 11 | 208D00000X | General Practice | | | | No |
| 12 | 363A00000X | Physician Assistant | | | | No |
| 13 | 363AM0700X | Physician Assistant | Medical | | | No |
| 14 | 363L00000X | Nurse Practitioner | | | | No |
| 15 | 2083B0002X | Preventive Medicine | Obesity Medicine | | | Yes |