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 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 261Q00000X | Clinic/Center | | | | No |
| 4 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 5 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 6 | 261QF0050X | Clinic/Center | Family Planning, Non-Surgical | | | No |
| 7 | 261QF0400X | Clinic/Center | Federally Qualified Health Center (FQHC) | | | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 261QM1000X | Clinic/Center | Migrant Health | | | No |
| 10 | 3336M0002X | Pharmacy | Mail Order Pharmacy | | | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 174200000X | Meals | | | | No |
| 14 | 251K00000X | Public Health or Welfare | | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |