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 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | | | No |
| 2 | 163WP0809X | Registered Nurse | Psychiatric/Mental Health, Adult | | | No |
| 3 | 171400000X | Health and Wellness Coach | | | | No |
| 4 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 5 | 174H00000X | Health Educator | | | | No |
| 6 | 163WG0000X | Registered Nurse | General Practice | | | No |
| 7 | 163WN1003X | Registered Nurse | Nutrition Support | | | No |
| 8 | 163WP0807X | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | | | No |
| 9 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | | | No |
| 10 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 11 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | Yes |