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 | 163WC1600X | Registered Nurse | Continuing Education/Staff Development | 041.504397 | ILLINOIS | No |
| 2 | 163WC2100X | Registered Nurse | Continence Care | 041.504397 | ILLINOIS | No |
| 3 | 163WD0400X | Registered Nurse | Diabetes Educator | 041.504397 | ILLINOIS | No |
| 4 | 163WG0600X | Registered Nurse | Gerontology | 041.504397 | ILLINOIS | No |
| 5 | 163WH0500X | Registered Nurse | Hemodialysis | 041.504397 | IDAHO | No |
| 6 | 163WH1000X | Registered Nurse | Hospice | 041.504397 | ILLINOIS | No |
| 7 | 163WI0600X | Registered Nurse | Infection Control | 041.504397 | ILLINOIS | No |
| 8 | 163WN1003X | Registered Nurse | Nutrition Support | 041.504397 | IDAHO | No |
| 9 | 163WP0000X | Registered Nurse | Pain Management | 041.504397 | ILLINOIS | No |
| 10 | 163WW0000X | Registered Nurse | Wound Care | 041.504397 | ILLINOIS | No |
| 11 | 163WX1500X | Registered Nurse | Ostomy Care | 041.504397 | ILLINOIS | No |
| 12 | 172A00000X | Driver | | | | No |
| 13 | 163WH0200X | Registered Nurse | Home Health | 041.504397 | ILLINOIS | Yes |