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 | 163WP0807X | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | | | No |
| 2 | 225100000X | Physical Therapist | | | | No |
| 3 | 225X00000X | Occupational Therapist | | | | No |
| 4 | 251B00000X | Case Management | | 1307003 | MARYLAND | No |
| 5 | 305R00000X | Preferred Provider Organization | | 1307003 | MARYLAND | No |
| 6 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | 1307003 | MARYLAND | No |
| 7 | 364SL0600X | Clinical Nurse Specialist | Long-Term Care | | | No |
| 8 | 376K00000X | Nurse's Aide | | | | No |
| 9 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | 1307003 | MARYLAND | No |
| 10 | 163WH0200X | Registered Nurse | Home Health | 1307003 | MARYLAND | No |
| 11 | 251E00000X | Home Health | | | | Yes |