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 | 208000000X | Pediatrics | | | | No |
2 | 251J00000X | Nursing Care | | | | No |
3 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
4 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
5 | 363LN0000X | Nurse Practitioner | Neonatal | | | No |
6 | 363LN0005X | Nurse Practitioner | Neonatal, Critical Care | | | No |
7 | 363LP0200X | Nurse Practitioner | Pediatrics | | | No |
8 | 363LP0222X | Nurse Practitioner | Pediatrics, Critical Care | | | No |
9 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
10 | 364SF0001X | Clinical Nurse Specialist | Family Health | | | No |
11 | 364SP0200X | Clinical Nurse Specialist | Pediatrics | | | No |
12 | 261QM0850X | Clinic/Center | Adult Mental Health | | | Yes |