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 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 2 | 172V00000X | Community Health Worker | | | | No |
| 3 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 4 | 2255A2300X | Specialist/Technologist | Athletic Trainer | | | Yes |
| 5 | 225800000X | Recreation Therapist | | | | No |
| 6 | 235500000X | Specialist/Technologist | | | | No |
| 7 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 8 | 372600000X | Adult Companion | | | | No |
| 9 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 10 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |