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 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 2 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 3 | 207P00000X | Emergency Medicine | | | | No |
| 4 | 207QA0505X | Family Medicine | Adult Medicine | | | No |
| 5 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |
| 6 | 207R00000X | Internal Medicine | | | | Yes |
| 7 | 207RG0300X | Internal Medicine | Geriatric Medicine | | | No |
| 8 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | | | No |
| 9 | 225100000X | Physical Therapist | | | | No |
| 10 | 2279P3800X | Respiratory Therapist, Registered | Palliative/Hospice | | | No |
| 11 | 251E00000X | Home Health | | | | No |
| 12 | 251F00000X | Home Infusion | | | | No |
| 13 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 14 | 363LF0000X | Nurse Practitioner | Family | | | No |