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 | 174400000X | Specialist | | 34166 | NORTH CAROLINA | No |
| 2 | 207R00000X | Internal Medicine | | 34166 | NORTH CAROLINA | No |
| 3 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 4 | 207RS0012X | Internal Medicine | Sleep Medicine | | | No |
| 5 | 2084N0400X | Psychiatry & Neurology | Neurology | 037102 | NORTH CAROLINA | No |
| 6 | 2084S0012X | Psychiatry & Neurology | Sleep Medicine | | NORTH CAROLINA | No |
| 7 | 2278P1004X | Respiratory Therapist, Certified | Pulmonary Diagnostics | 4125 | NORTH CAROLINA | No |
| 8 | 2278P1004X | Respiratory Therapist, Certified | Pulmonary Diagnostics | A 4248 | NORTH CAROLINA | No |
| 9 | 2278P1004X | Respiratory Therapist, Certified | Pulmonary Diagnostics | A 2855 | NORTH CAROLINA | No |
| 10 | 2278P1004X | Respiratory Therapist, Certified | Pulmonary Diagnostics | A 2559 | NORTH CAROLINA | No |
| 11 | 2278P1004X | Respiratory Therapist, Certified | Pulmonary Diagnostics | A 725 | NORTH CAROLINA | No |
| 12 | 2279P1004X | Respiratory Therapist, Registered | Pulmonary Diagnostics | A-5047 | NORTH CAROLINA | No |
| 13 | 261QS1200X | Clinic/Center | Sleep Disorder Diagnostic | | | Yes |
