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 | 101YP2500X | Counselor | Professional | | | No |
| 2 | 156FX1800X | Technician/Technologist | Optician | | | No |
| 3 | 302F00000X | Exclusive Provider Organization | | | | No |
| 4 | 183700000X | Pharmacy Technician | | H426219028 | MISSISSIPPI | No |
| 5 | 172A00000X | Driver | | | | No |
| 6 | 146N00000X | Emergency Medical Technician, Basic | | H426219028DON | VIRGINIA | No |
| 7 | 235500000X | Specialist/Technologist | | | | No |
| 8 | 251E00000X | Home Health | | | MISSISSIPPI | No |
| 9 | 225200000X | Physical Therapy Assistant | | | | No |
| 10 | 133N00000X | Nutritionist | | | | No |
| 11 | 246Z00000X | Specialist/Technologist, Other | | | | No |
| 12 | 251E00000X | Home Health | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 347C00000X | Private Vehicle | | H426219028 | MARYLAND | No |
| 15 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | Yes |
