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 | 225700000X | Massage Therapist | | | | Yes |
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 | 100158 | OTHER | NEVADA | HUMANA GOLD PLUS HMO |
| 2 | 100268 | OTHER | NEVADA | TRICARE (NATIONWIDE) |
| 3 | 101353 | OTHER | NEVADA | PROMINENCE HEALTH PLAN OF NEVADA- MEDICARE ADVANTAGE |
| 4 | 101382 | OTHER | NEVADA | HEALTH PLAN OF NEVADA (SIERRA HEALTH SERVICES ENCOUNTERS) |
| 5 | 84594 | OTHER | NEVADA | AMERICAN SPECIALTY HEALTH/ HEALTHFIRST |
| 6 | 101382 | OTHER | NEVADA | SIERRA HEALTH AND LIFE (HEALTH PLAN OF NEVADA) |
| 7 | 100268 | OTHER | NEVADA | TRICARE WEST |
| 8 | 10082 | OTHER | NEVADA | CIGNA HEALTH PLAN PPO |
| 9 | 100003 | OTHER | NEVADA | AETNA LIFE & CASUALTY COMPANY |
| 10 | 100003 | OTHER | NEVADA | AETNA MEDICARE PPO |
| 11 | 10082 | OTHER | NEVADA | CIGNA |
| 12 | 953402799 | OTHER | NEVADA | AETNA |
| 13 | 100273 | OTHER | NEVADA | UNITED HEALTHCARE |
| 14 | 100003 | OTHER | NEVADA | AETNA MEDICARE HMO |
| 15 | ASH01 | OTHER | NEVADA | AMERICAN SPECIALTY HEALTH |
| 16 | 100044 | OTHER | NEVADA | BLUE CROSS BLUE SHIELD NEVADA (ANTHEM BCBS NV) |
| 17 | 100158 | OTHER | NEVADA | HUMANA MEDICAID HMO |
| 18 | 100273 | OTHER | NEVADA | UNITED HEALTHCARE (UHC) MEDICAID PLANS |
| 19 | 100273 | OTHER | NEVADA | UNITED HEALTHCARE DUAL COMPLETE |
