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 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 2 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 3 | 305S00000X | Point of Service | | | | No |
| 4 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 5 | 163W00000X | Registered Nurse | | | | No |
| 6 | 251F00000X | Home Infusion | | | | No |
| 7 | 251J00000X | Nursing Care | | | | No |
| 8 | 253Z00000X | In Home Supportive Care | | | | No |
| 9 | 261Q00000X | Clinic/Center | | | | No |
| 10 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 11 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 12 | 363L00000X | Nurse Practitioner | | | | Yes |