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 | 133V00000X | Dietitian, Registered | | | | No |
| 2 | 133VN1006X | Dietitian, Registered | Nutrition, Metabolic | | | No |
| 3 | 163W00000X | Registered Nurse | | | | No |
| 4 | 163WN1003X | Registered Nurse | Nutrition Support | | | No |
| 5 | 207Q00000X | Family Medicine | | | | No |
| 6 | 207QB0002X | Family Medicine | Obesity Medicine | | | No |
| 7 | 207RB0002X | Internal Medicine | Obesity Medicine | | | No |
| 8 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 9 | 207VB0002X | Obstetrics & Gynecology | Obesity Medicine | | | No |
| 10 | 2080B0002X | Pediatrics | Obesity Medicine | | | No |
| 11 | 2084B0002X | Psychiatry & Neurology | Obesity Medicine | | | No |
| 12 | 363L00000X | Nurse Practitioner | | | | No |
| 13 | 363LP2300X | Nurse Practitioner | Primary Care | | | No |
| 14 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 15 | 2083B0002X | Preventive Medicine | Obesity Medicine | | | Yes |