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 | 163WC0400X | Registered Nurse | Case Management | HCO171179 | VIRGINIA | No |
| 2 | 163WC2100X | Registered Nurse | Continence Care | HCO171179 | VIRGINIA | No |
| 3 | 163WH0200X | Registered Nurse | Home Health | HCO171179 | VIRGINIA | No |
| 4 | 163WP0200X | Registered Nurse | Pediatrics | HCO171179 | VIRGINIA | No |
| 5 | 163WW0000X | Registered Nurse | Wound Care | HCO171179 | VIRGINIA | No |
| 6 | 164W00000X | Licensed Practical Nurse | | HCO171179 | VIRGINIA | No |
| 7 | 251B00000X | Case Management | | 130702 | MARYLAND | No |
| 8 | 252Y00000X | Early Intervention Provider Agency | | HCO171179 | VIRGINIA | No |
| 9 | 251E00000X | Home Health | | 130702 | MARYLAND | Yes |
| 10 | 251F00000X | Home Infusion | | 130702 | MARYLAND | No |
| 11 | 253Z00000X | In Home Supportive Care | | 130702 | MARYLAND | No |
| 12 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 130702 | MARYLAND | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | 130702 | MARYLAND | No |
| 14 | 374U00000X | Home Health Aide | | HCO181179 | VIRGINIA | No |
| 15 | 385H00000X | Respite Care | | 130702 | MARYLAND | No |