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 | 163W00000X | Registered Nurse | | | | No |
| 2 | 251J00000X | Nursing Care | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261Q00000X | Clinic/Center | | | | No |
| 5 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 6 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 7 | 332900000X | Non-Pharmacy Dispensing Site | | | | No |
| 8 | 3336H0001X | Pharmacy | Home Infusion Therapy Pharmacy | | | No |
| 9 | 3336S0011X | Pharmacy | Specialty Pharmacy | | | No |
| 10 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 11 | 261QP2300X | Clinic/Center | Primary Care | | | Yes |