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 | 208D00000X | General Practice | | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261Q00000X | Clinic/Center | | | | No |
| 5 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 261QR1300X | Clinic/Center | Rural Health | | | No |
| 8 | 302R00000X | Health Maintenance Organization | | | | No |
| 9 | 363L00000X | Nurse Practitioner | | | | No |
| 10 | 363LC1500X | Nurse Practitioner | Community Health | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 363LF0000X | Nurse Practitioner | Family | | | Yes |