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 | 133V00000X | Dietitian, Registered | | | | No |
| 2 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 3 | 163WL0100X | Registered Nurse | Lactation Consultant | | | No |
| 4 | 163WX0002X | Registered Nurse | Obstetric, High-Risk | | | No |
| 5 | 170100000X | Medical Genetics, Ph.D. Medical Genetics | | | | No |
| 6 | 170300000X | Genetic Counselor, MS | | | | No |
| 7 | 207QA0505X | Family Medicine | Adult Medicine | | | No |
| 8 | 207QB0002X | Family Medicine | Obesity Medicine | | | No |
| 9 | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | | | No |
| 10 | 208800000X | Urology | | | | No |
| 11 | 363LW0102X | Nurse Practitioner | Women's Health | | | No |
| 12 | 207VC0300X | Obstetrics & Gynecology | Complex Family Planning | | | Yes |