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 | 103T00000X | Psychologist | | | | No |
| 3 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 4 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 5 | 207P00000X | Emergency Medicine | | | | No |
| 6 | 207Q00000X | Family Medicine | | | | Yes |
| 7 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 8 | 207VX0000X | Obstetrics & Gynecology | Obstetrics | | | No |
| 9 | 225100000X | Physical Therapist | | | | No |
| 10 | 227900000X | Respiratory Therapist, Registered | | | | No |
| 11 | 251G00000X | Hospice Care, Community Based | | | | No |
| 12 | 261QC0050X | Clinic/Center | Critical Access Hospital | | | No |