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 | 103TC0700X | Psychologist | Clinical | | | No |
| 2 | 207RC0000X | Internal Medicine | Cardiovascular Disease | HOS | RHODE ISLAND | No |
| 3 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 4 | 207RC0001X | Internal Medicine | Clinical Cardiac Electrophysiology | | | No |
| 5 | 207RI0011X | Internal Medicine | Interventional Cardiology | | | No |
| 6 | 363A00000X | Physician Assistant | | | | No |
| 7 | 363AM0700X | Physician Assistant | Medical | | | No |
| 8 | 363AS0400X | Physician Assistant | Surgical | | | No |
| 9 | 363L00000X | Nurse Practitioner | | | | No |
| 10 | 363LA2100X | Nurse Practitioner | Acute Care | | | No |
| 11 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 12 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 13 | 207RA0001X | Internal Medicine | Advanced Heart Failure and Transplant Cardiology | | | Yes |