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 | 363LC1500X | Nurse Practitioner | Community Health | | | No |
| 2 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 3 | 310400000X | Assisted Living Facility | | | | No |
| 4 | 163W00000X | Registered Nurse | | | | No |
| 5 | 164W00000X | Licensed Practical Nurse | | | | No |
| 6 | 225400000X | Rehabilitation Practitioner | | | | No |
| 7 | 251E00000X | Home Health | | | | No |
| 8 | 251J00000X | Nursing Care | | | | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | No |
| 10 | 314000000X | Skilled Nursing Facility | | | | Yes |