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 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 2 | 207Q00000X | Family Medicine | | | | No |
| 3 | 207R00000X | Internal Medicine | | | | No |
| 4 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 5 | 208600000X | Surgery | | | | No |
| 6 | 208D00000X | General Practice | | | | No |
| 7 | 251B00000X | Case Management | | | | No |
| 8 | 261Q00000X | Clinic/Center | | | | No |
| 9 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 10 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 11 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 12 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 13 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 14 | 363L00000X | Nurse Practitioner | | | | No |
| 15 | 261QM1300X | Clinic/Center | Multi-Specialty | | | Yes |
