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 | 103TP2701X | Psychologist | Group Psychotherapy | | | No |
| 2 | 1223D0001X | Dentist | Dental Public Health | | | No |
| 3 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 4 | 171400000X | Health and Wellness Coach | | | | No |
| 5 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 6 | 172V00000X | Community Health Worker | | | | No |
| 7 | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | | | No |
| 8 | 208000000X | Pediatrics | | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | No |
| 10 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 11 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 12 | 363LW0102X | Nurse Practitioner | Women's Health | | | No |
| 13 | 364SF0001X | Clinical Nurse Specialist | Family Health | | | No |
| 14 | 374J00000X | Doula | | | | No |
| 15 | 207VX0000X | Obstetrics & Gynecology | Obstetrics | | | Yes |
