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 | 251E00000X | Home Health | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 261Q00000X | Clinic/Center | | | | No |
| 4 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 5 | 251F00000X | Home Infusion | | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 251K00000X | Public Health or Welfare | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 10 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 11 | 261QR1300X | Clinic/Center | Rural Health | | | No |
| 12 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 13 | 305R00000X | Preferred Provider Organization | | | | No |
| 14 | 305S00000X | Point of Service | | | | No |
| 15 | 363LP2300X | Nurse Practitioner | Primary Care | | | Yes |