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 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 2 | 225XF0002X | Occupational Therapist | Feeding, Eating & Swallowing | | | No |
| 3 | 225XP0200X | Occupational Therapist | Pediatrics | | | No |
| 4 | 2355S0801X | Specialist/Technologist | Speech-Language Assistant | | | No |
| 5 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 6 | 261QM1300X | Clinic/Center | Multi-Specialty | | | Yes |
| 7 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 8 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 9 | 363L00000X | Nurse Practitioner | | | | No |
| 10 | 363LA2100X | Nurse Practitioner | Acute Care | | | No |
| 11 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 12 | 363LP0200X | Nurse Practitioner | Pediatrics | | | No |
| 13 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 14 | 363LP2300X | Nurse Practitioner | Primary Care | | | No |
| 15 | 363LX0106X | Nurse Practitioner | Occupational Health | | | No |
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 | 1760195382 | OTHER | | NPI |
| 2 | 1881434975 | OTHER | | NPI |
| 3 | AP61351087 | OTHER | WASHINGTON | ARNP |
| 4 | 1023617347 | OTHER | | NPI |
| 5 | 1306689278 | OTHER | | NPI |
| 6 | 1477189785 | OTHER | | NPI |
| 7 | 1477934578 | OTHER | WASHINGTON | NPI |
| 8 | 1609330992 | OTHER | WASHINGTON | NPI |
| 9 | AP60929537 | OTHER | WASHINGTON | ARNP |
| 10 | AP61335304 | OTHER | WASHINGTON | ARNP |
| 11 | SI61064749 | OTHER | WASHINGTON | SLP |
| 12 | 1447988530 | OTHER | WASHINGTON | NPI |
| 13 | AP60228997 | OTHER | WASHINGTON | ARNP |
| 14 | AP60327358 | OTHER | WASHINGTON | ARNP |
| 15 | OT60064658 | OTHER | WASHINGTON | OT |
| 16 | 1366298085 | OTHER | | NPI |
| 17 | AP60942013 | OTHER | WASHINGTON | ARNP |
| 18 | AP61315755 | OTHER | WASHINGTON | ARNP |
| 19 | AP60919324 | OTHER | WASHINGTON | ARNP |
| 20 | AP61109016 | OTHER | WASHINGTON | ARNP |
| 21 | OT60869302 | OTHER | WASHINGTON | OT |
| 22 | 1083329072 | OTHER | | NPI |
| 23 | 1376830299 | OTHER | WASHINGTON | NPI |
| 24 | 1811779002 | OTHER | | NPI |
| 25 | AP61091392 | OTHER | WASHINGTON | ARNP |
| 26 | AP61224996 | OTHER | WASHINGTON | ARNP |
| 27 | AP61338441 | OTHER | WASHINGTON | ARNP |
| 28 | 1588902597 | OTHER | WASHINGTON | NPI |
| 29 | PT60630044 | OTHER | WASHINGTON | PT |
| 30 | 1033980628 | OTHER | | NPI |
| 31 | 1245962232 | OTHER | | NPI |
| 32 | AP60864435 | OTHER | WASHINGTON | ARNP |
