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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 03AL1070-A | MARYLAND | No |
| 2 | 133N00000X | Nutritionist | | 03AL1070-A | MARYLAND | No |
| 3 | 133NN1002X | Nutritionist | Nutrition, Education | 03AL1070-A | MARYLAND | No |
| 4 | 133VN1005X | Dietitian, Registered | Nutrition, Renal | 03AL1070-A | MARYLAND | No |
| 5 | 136A00000X | Dietetic Technician, Registered | | 03AL1070-A | MARYLAND | No |
| 6 | 163W00000X | Registered Nurse | | 03AL1070-A | MARYLAND | No |
| 7 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | 03AL1070-A | MARYLAND | No |
| 8 | 163WA2000X | Registered Nurse | Administrator | 03AL1070-A | MARYLAND | No |
| 9 | 163WC0400X | Registered Nurse | Case Management | 03AL1070-A | MARYLAND | No |
| 10 | 163WC1600X | Registered Nurse | Continuing Education/Staff Development | 03AL1070-A | MARYLAND | No |
| 11 | 163WD0400X | Registered Nurse | Diabetes Educator | 03AL1070-A | MARYLAND | No |
| 12 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | 03AL1070-A | MARYLAND | No |
| 13 | 310400000X | Assisted Living Facility | | 03AL1070-A | MARYLAND | Yes |
