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 | 235Z00000X | Speech-Language Pathologist | | SP578 | NEVADA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | 260227913 | OTHER | NEVADA | INTERPLAN |
2 | 260227913 | OTHER | NEVADA | CONSTRUCTION WORKERS HEALTH TRUST |
3 | 260227913 | OTHER | NEVADA | GALAXY HEALTH NETOWRK/AMERICAN HEALTH |
4 | 260227913 | OTHER | NEVADA | PAINTERS HEALTH AND WELFARE TRUST |
5 | 260227913 | OTHER | NEVADA | AMERIGROUP COMMUNITY PLAN |
6 | 260227913 | OTHER | NEVADA | UNIVERSAL HEALTH NETWORK |
7 | 260227913 | OTHER | NEVADA | UNIVERSAL HEALTH NETWORK/NPP |
8 | 260227913 | OTHER | NEVADA | ST. MARY'S HEALTH NETWORK |
9 | CL404A | OTHER | NEVADA | MEDICARE |
10 | 1573054 | OTHER | NEVADA | FIRST HEALTH |
11 | 260227913 | OTHER | NEVADA | MEDIVERSAL FAMILY CARENET PPO AND WORKERS COMP |
12 | 260227913 | OTHER | NEVADA | ALTIUS HEALTH NETOWRK |
13 | 177226 | OTHER | NEVADA | NEVADACARE |
14 | 260227913 | OTHER | NEVADA | USA MCO |
15 | 260227913 | OTHER | NEVADA | BCBS FEDERAL |
16 | 89128A002 | OTHER | NEVADA | TRIWEST |
17 | 100501202 | MEDICAID | NEVADA | |
18 | 4724376 | OTHER | NEVADA | CIGNA/GREAT WEST |
19 | 260227913 | OTHER | NEVADA | VIANT/BEECHSTREET NETWORK |
20 | 1573054 | OTHER | NEVADA | FIRST HEALTH DIRECT/COVENTRY |
21 | 260227913 | OTHER | NEVADA | HUMANA CHOICECARE NETOWRK |
22 | 260227913 | OTHER | NEVADA | ANTHEM BCBS |
23 | 260227913 | OTHER | NEVADA | PHCS MULTIPLAN NETWORK |
24 | 260227913 | OTHER | NEVADA | TEACHERS HEALTH TRUST |
25 | 260227913 | OTHER | NEVADA | ELECTRICAL WORKERS HEALTH AND WELFARE TRUST |
26 | 7877190 | OTHER | NEVADA | AETNA |