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 | 163WL0100X | Registered Nurse | Lactation Consultant | | | No |
| 2 | 207Q00000X | Family Medicine | | | | No |
| 3 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 4 | 207X00000X | Orthopaedic Surgery | | | | No |
| 5 | 207YS0123X | Otolaryngology | Facial Plastic Surgery | | | No |
| 6 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 7 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 8 | 208600000X | Surgery | | | | No |
| 9 | 2086S0129X | Surgery | Vascular Surgery | | | No |
| 10 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | | | No |
| 11 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 12 | 363A00000X | Physician Assistant | | | | No |
| 13 | 363L00000X | Nurse Practitioner | | | | No |
| 14 | 367500000X | Nurse Anesthetist, Certified Registered | | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |