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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 101YS0200X | Counselor | School | | | No |
| 3 | 1041C0700X | Social Worker | Clinical | | | No |
| 4 | 1041S0200X | Social Worker | School | | | No |
| 5 | 1223D0001X | Dentist | Dental Public Health | | | No |
| 6 | 124Q00000X | Dental Hygienist | | | | No |
| 7 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 8 | 163WG0000X | Registered Nurse | General Practice | | | No |
| 9 | 164W00000X | Licensed Practical Nurse | | | | No |
| 10 | 1835P0018X | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | | | No |
| 11 | 207QA0000X | Family Medicine | Adolescent Medicine | | | No |
| 12 | 207QA0505X | Family Medicine | Adult Medicine | | | No |
| 13 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | Yes |
| 14 | 363LC1500X | Nurse Practitioner | Community Health | | | No |
| 15 | 364SC1501X | Clinical Nurse Specialist | Community Health/Public Health | | | No |