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 | 163W00000X | Registered Nurse | | | NORTH CAROLINA | No |
| 2 | 164W00000X | Licensed Practical Nurse | | | NORTH CAROLINA | No |
| 3 | 208000000X | Pediatrics | | | NORTH CAROLINA | No |
| 4 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | NORTH CAROLINA | No |
| 5 | 208D00000X | General Practice | | | NORTH CAROLINA | No |
| 6 | 363A00000X | Physician Assistant | | | NORTH CAROLINA | No |
| 7 | 363L00000X | Nurse Practitioner | | | NORTH CAROLINA | No |
| 8 | 207Q00000X | Family Medicine | | | NORTH CAROLINA | Yes |