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 | 101YP2500X | Counselor | Professional | | | No |
| 2 | 103K00000X | Behavior Analyst | | | | No |
| 3 | 103TB0200X | Psychologist | Cognitive & Behavioral | | | No |
| 4 | 103TH0100X | Psychologist | Health Service | | | No |
| 5 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 6 | 163WD0400X | Registered Nurse | Diabetes Educator | | | No |
| 7 | 207Q00000X | Family Medicine | | | | No |
| 8 | 2083B0002X | Preventive Medicine | Obesity Medicine | | | No |
| 9 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
| 10 | 224Y00000X | Clinical Exercise Physiologist | | | | No |
| 11 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 12 | 208D00000X | General Practice | | | | Yes |