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 | 231H00000X | Audiologist | | 692 | MARYLAND | No |
| 2 | 231HA2400X | Audiologist | Assistive Technology Practitioner | 770 | MARYLAND | No |
| 3 | 231HA2400X | Audiologist | Assistive Technology Practitioner | 692 | MARYLAND | No |
| 4 | 231HA2500X | Audiologist | Assistive Technology Supplier | 770 | MARYLAND | No |
| 5 | 231HA2500X | Audiologist | Assistive Technology Supplier | 692 | MARYLAND | No |
| 6 | 237600000X | Audiologist-Hearing Aid Fitter | | 770 | MARYLAND | No |
| 7 | 237600000X | Audiologist-Hearing Aid Fitter | | 692 | MARYLAND | No |
| 8 | 231H00000X | Audiologist | | 770 | MARYLAND | 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 | 241011 | OTHER | MARYLAND | ALLIANCE GROUP NUMBER |
| 2 | ========= | OTHER | MARYLAND | TRICARE |
| 3 | L332HE | OTHER | MARYLAND | BCBS OF MD ALT. GROUP ID |
| 4 | 0814417 | OTHER | MARYLAND | US HEALTHCARE GROUP NUMBE |
| 5 | L117HE | OTHER | MARYLAND | BCBS OF MD GROUP ID |
| 6 | 241011 | OTHER | MARYLAND | MDIPA GROUP NUMBER |
| 7 | 116338 | OTHER | MARYLAND | KAISER PERM. GROUP NUMBER |
| 8 | 2042 | OTHER | DISTRICT OF COLUMBIA | BCBS OF DC GROUP NUMBER |
| 9 | 241011 | OTHER | MARYLAND | MAMSI GROUP NUMBER |
| 10 | ========= | OTHER | MARYLAND | INTEGRATED HEALTH GROUP N |
| 11 | 891701 | MEDICARE ID-TYPE UNSPECIFIED | MARYLAND | MEDICARE GROUP NUMBER |
| 12 | 0814417 | OTHER | MARYLAND | AETNA GROUP NUMBER |
| 13 | 241011 | OTHER | MARYLAND | OPTIMUM CHOICE GROUP NUMB |
| 14 | 484823 | OTHER | MARYLAND | NCPPO GROUP NUMBER |
| 15 | ========= | OTHER | MARYLAND | CIGNA GROUP NUMBER |
| 16 | ========= | OTHER | MARYLAND | INOVA GROUP NUMBER |
| 17 | 095100500 | MEDICAID | MARYLAND | |