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 | 171W00000X | Contractor | | | | No |
| 2 | 251J00000X | Nursing Care | | | | No |
| 3 | 251V00000X | Voluntary or Charitable | | | | No |
| 4 | 251X00000X | Supports Brokerage | | | | No |
| 5 | 253Z00000X | In Home Supportive Care | | | | No |
| 6 | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | | | | No |
| 7 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 8 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 9 | 332BD1200X | Durable Medical Equipment & Medical Supplies | Dialysis Equipment & Supplies | | | No |
| 10 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 11 | 332S00000X | Hearing Aid Equipment | | | | No |
| 12 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 347C00000X | Private Vehicle | | | | No |
| 15 | 251E00000X | Home Health | | | | Yes |