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 | 171400000X | Health and Wellness Coach | | | | No |
| 2 | 207R00000X | Internal Medicine | | | | No |
| 3 | 207RA0001X | Internal Medicine | Advanced Heart Failure and Transplant Cardiology | | | No |
| 4 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 5 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 6 | 207RH0005X | Internal Medicine | Hypertension Specialist | | | No |
| 7 | 2086S0102X | Surgery | Surgical Critical Care | | | No |
| 8 | 208D00000X | General Practice | | | | No |
| 9 | 251E00000X | Home Health | | | | No |
| 10 | 202D00000X | Integrative Medicine | | | | Yes |