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 | 133VN1006X | Dietitian, Registered | Nutrition, Metabolic | | | No |
| 2 | 163W00000X | Registered Nurse | | | | No |
| 3 | 163WN1003X | Registered Nurse | Nutrition Support | | | No |
| 4 | 164W00000X | Licensed Practical Nurse | | | | No |
| 5 | 207Q00000X | Family Medicine | | | | No |
| 6 | 207R00000X | Internal Medicine | | | | No |
| 7 | 207VB0002X | Obstetrics & Gynecology | Obesity Medicine | | | No |
| 8 | 208000000X | Pediatrics | | | | No |
| 9 | 2080B0002X | Pediatrics | Obesity Medicine | | | No |
| 10 | 2083B0002X | Preventive Medicine | Obesity Medicine | | | No |
| 11 | 2084B0002X | Psychiatry & Neurology | Obesity Medicine | | | No |
| 12 | 208D00000X | General Practice | | | | Yes |
| 13 | 363A00000X | Physician Assistant | | | | No |
| 14 | 363LP2300X | Nurse Practitioner | Primary Care | | | No |
| 15 | 3747P1801X | Technician | Personal Care Attendant | | | No |
