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 | 207K00000X | Allergy & Immunology | | | | No |
2 | 207Q00000X | Family Medicine | | | | No |
3 | 207R00000X | Internal Medicine | | | | Yes |
4 | 207X00000X | Orthopaedic Surgery | | | | No |
5 | 208000000X | Pediatrics | | | | No |
6 | 2084P0804X | Psychiatry & Neurology | Child & Adolescent Psychiatry | | | No |
7 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
8 | 208800000X | Urology | | | | No |
9 | 363A00000X | Physician Assistant | | | | No |
10 | 363L00000X | Nurse Practitioner | | | | No |
11 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
12 | 363LF0000X | Nurse Practitioner | Family | | | No |
13 | 363LG0600X | Nurse Practitioner | Gerontology | | | No |
14 | 363LP0200X | Nurse Practitioner | Pediatrics | | | No |