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 | 176B00000X | Midwife | | N/A | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | ========= | OTHER | NEW YORK | UHC GROUP ID NUMBER |
| 2 | 000024448 | OTHER | NEW YORK | BCBS IDENTIFICATION NMBR |
| 3 | 1010337510001 | MEDICAID | PENNSYLVANIA | |
| 4 | ========= | OTHER | NEW YORK | TRICARE GROUP ID |
| 5 | 02001412 | MEDICAID | NEW YORK | |
| 6 | ========= | OTHER | NEW YORK | EMPIRE PLAN GROUP ID |
| 7 | 189930 | OTHER | NEW YORK | GHI GROUP ID NUMBER |
| 8 | ========= | OTHER | NEW YORK | POMCO GROUP ID |
| 9 | AA1537 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | MEDICARE ID NUMBER/GROUP |
