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 | | | No |
| 2 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 3 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 4 | 164W00000X | Licensed Practical Nurse | | | | No |
| 5 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 6 | 2279G1100X | Respiratory Therapist, Registered | General Care | | | No |
| 7 | 207QG0300X | Family Medicine | Geriatric Medicine | | | No |
| 8 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |
| 9 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 10 | 225100000X | Physical Therapist | | | | No |
| 11 | 225200000X | Physical Therapy Assistant | | | | No |
| 12 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 13 | 374U00000X | Home Health Aide | | | | No |
| 14 | 376K00000X | Nurse's Aide | | | | No |
| 15 | 207Q00000X | Family Medicine | | | | Yes |