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 | 163WP0807X | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | | | No |
| 2 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | | | No |
| 3 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 4 | 251E00000X | Home Health | | | | No |
| 5 | 253J00000X | Foster Care Agency | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
| 9 | 363L00000X | Nurse Practitioner | | | | No |
| 10 | 364SL0600X | Clinical Nurse Specialist | Long-Term Care | | | No |
| 11 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 12 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 13 | 374U00000X | Home Health Aide | | | | No |
| 14 | 376K00000X | Nurse's Aide | | | | No |
| 15 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |