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 | 207P00000X | Emergency Medicine | | | | No |
| 2 | 261Q00000X | Clinic/Center | | | | Yes |
| 3 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 4 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 6 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 9 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 342000000X | Transportation Network Company | | | | No |
| 11 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 12 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 13 | 347C00000X | Private Vehicle | | | | No |
| 14 | 347E00000X | Transportation Broker | | | | No |
| 15 | 363L00000X | Nurse Practitioner | | | | No |
