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 | 163WH0200X | Registered Nurse | Home Health |  |  | No | 
| 2 | 163WW0000X | Registered Nurse | Wound Care |  |  | No | 
| 3 | 207QA0505X | Family Medicine | Adult Medicine |  |  | No | 
| 4 | 207RG0300X | Internal Medicine | Geriatric Medicine |  |  | No | 
| 5 | 225100000X | Physical Therapist |  |  |  | No | 
| 6 | 251E00000X | Home Health |  |  |  | No | 
| 7 | 251F00000X | Home Infusion |  |  |  | No | 
| 8 | 363LF0000X | Nurse Practitioner | Family |  |  | No | 
| 9 | 207R00000X | Internal Medicine |  |  |  | Yes |