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 | 103G00000X | Clinical Neuropsychologist | | | | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 3 | 225600000X | Dance Therapist | | | | No |
| 4 | 204R00000X | Electrodiagnostic Medicine | | | | No |
| 5 | 363L00000X | Nurse Practitioner | | | | No |
| 6 | 363LP2300X | Nurse Practitioner | Primary Care | | | No |
| 7 | 133V00000X | Dietitian, Registered | | | | No |
| 8 | 133VN1201X | Dietitian, Registered | Nutrition, Obesity and Weight Management | | | No |
| 9 | 163W00000X | Registered Nurse | | | | No |
| 10 | 163WM1400X | Registered Nurse | Nurse Massage Therapist (NMT) | | | No |
| 11 | 171100000X | Acupuncturist | | | | No |
| 12 | 103TC0700X | Psychologist | Clinical | | | No |
| 13 | 1041C0700X | Social Worker | Clinical | | | No |
| 14 | 133N00000X | Nutritionist | | | | No |
| 15 | 2084P0015X | Psychiatry & Neurology | Psychosomatic Medicine | | | Yes |