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 | 163WP2201X | Registered Nurse | Ambulatory Care | | | No |
| 2 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251J00000X | Nursing Care | | | | No |
| 6 | 251V00000X | Voluntary or Charitable | | | | No |
| 7 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 8 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 9 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 10 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 11 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 12 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 13 | 347C00000X | Private Vehicle | | | | No |
| 14 | 376K00000X | Nurse's Aide | | | | No |
| 15 | 310400000X | Assisted Living Facility | | | | Yes |
