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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 2 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 3 | 183500000X | Pharmacist | | PH811 | ALASKA | Yes |
| 4 | 1835N1003X | Pharmacist | Nutrition Support | PH811 | ALASKA | No |
| 5 | 208U00000X | Clinical Pharmacology | | PH811 | ALASKA | No |
| 6 | 251E00000X | Home Health | | | | No |
| 7 | 251F00000X | Home Infusion | | | | No |
| 8 | 251G00000X | Hospice Care, Community Based | | | | No |
| 9 | 302F00000X | Exclusive Provider Organization | | | | No |
| 10 | 305S00000X | Point of Service | | | | No |
| 11 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 12 | 332BX2000X | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies | | | No |
| 13 | 174H00000X | Health Educator | | | | No |
| 14 | 207PH0002X | Emergency Medicine | Hospice and Palliative Medicine | PH811 | ALASKA | No |
