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 | 1041C0700X | Social Worker | Clinical | | | No |
| 2 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 3 | 133VN1201X | Dietitian, Registered | Nutrition, Obesity and Weight Management | | | No |
| 4 | 171400000X | Health and Wellness Coach | | | | No |
| 5 | 174400000X | Specialist | | | | Yes |
| 6 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 7 | 207SG0203X | Medical Genetics | Clinical Molecular Genetics | | | No |
| 8 | 207VC0300X | Obstetrics & Gynecology | Complex Family Planning | | | No |
| 9 | 207VE0102X | Obstetrics & Gynecology | Reproductive Endocrinology | | | No |
| 10 | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | | | No |
| 11 | 208000000X | Pediatrics | | | | No |
| 12 | 2085U0001X | Radiology | Diagnostic Ultrasound | | | No |
| 13 | 208800000X | Urology | | | | No |
| 14 | 208D00000X | General Practice | | | | No |
| 15 | 3336S0011X | Pharmacy | Specialty Pharmacy | | | No |
