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 | 208000000X | Pediatrics | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | No |
| 4 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 5 | 208D00000X | General Practice | | | | No |
| 6 | 1041C0700X | Social Worker | Clinical | | | No |
| 7 | 207Q00000X | Family Medicine | | | | No |
| 8 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 9 | 101YP2500X | Counselor | Professional | | | No |
| 10 | 261QF0050X | Clinic/Center | Family Planning, Non-Surgical | | | No |
| 11 | 261QA0005X | Clinic/Center | Ambulatory Family Planning Facility | | | No |
| 12 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 13 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 14 | 261QF0400X | Clinic/Center | Federally Qualified Health Center (FQHC) | | | Yes |
