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 | 225800000X | Recreation Therapist | | | | No |
| 2 | 225C00000X | Rehabilitation Counselor | | | | No |
| 3 | 163W00000X | Registered Nurse | | | | No |
| 4 | 343900000X | Non-emergency Medical Transport (VAN) | | | NORTH CAROLINA | No |
| 5 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | FCL 035 018 | NORTH CAROLINA | Yes |