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 | 207R00000X | Internal Medicine | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251E00000X | Home Health | | | | Yes |
| 4 | 251F00000X | Home Infusion | | | | No |
| 5 | 251G00000X | Hospice Care, Community Based | | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 8 | 253Z00000X | In Home Supportive Care | | | | No |
| 9 | 261Q00000X | Clinic/Center | | | | No |
| 10 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 11 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 12 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 13 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 14 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 15 | 335G00000X | Medical Foods Supplier | | | | No |