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 | 104100000X | Social Worker | | | | No |
| 2 | 163WC2100X | Registered Nurse | Continence Care | | | No |
| 3 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 4 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 5 | 172V00000X | Community Health Worker | | | | No |
| 6 | 364SH0200X | Clinical Nurse Specialist | Home Health | | | No |
| 7 | 163WX0106X | Registered Nurse | Occupational Health | | | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 9 | 364SX0106X | Clinical Nurse Specialist | Occupational Health | | | No |
| 10 | 372600000X | Adult Companion | | | | No |
| 11 | 374U00000X | Home Health Aide | | | | No |
| 12 | 376K00000X | Nurse's Aide | | | | No |
| 13 | 251E00000X | Home Health | | | | 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 | W9Y4N4MA | OTHER | MISSISSIPPI | NATIONAL HEALTHCAREER ASSOCIATION |
| 2 | 24-0019 | OTHER | MISSISSIPPI | CERTIFICATE OF OCCUPANCY |
| 3 | 1336304864 | OTHER | LOUISIANA | NPI |
| 4 | W9Y4N4MA | OTHER | MISSISSIPPI | NHA |
| 5 | OTT.200141 | OTHER | LOUISIANA | LOUSIANA STATE BOARD OF MEDICAL EXAMINERS |
| 6 | N9X8B6S9 | OTHER | MISSISSIPPI | NHA |
| 7 | 24-0047-01 | OTHER | MISSISSIPPI | BUSINESS LICENSE NUMBER |