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 | 251F00000X | Home Infusion | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 4 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 5 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 6 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 7 | 261QR1300X | Clinic/Center | Rural Health | | | No |
| 8 | 261QS1200X | Clinic/Center | Sleep Disorder Diagnostic | | | No |
| 9 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 10 | 3336C0002X | Pharmacy | Clinic Pharmacy | | | No |
| 11 | 3336H0001X | Pharmacy | Home Infusion Therapy Pharmacy | | | No |
| 12 | 207Q00000X | Family Medicine | | | | Yes |