ND Medicaid Provider Taxonomy Listing-Individual How to ...
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ND Medicaid Provider Taxonomy Listing-Individual How to Search: Hold Control Key and Press F; Enter your search criteria (NPI #) in the upper right, Click NEXT in the search box NPI Taxonomy Provider Type Provider Type Description Specialty Code Specialty Description 1003006651 207V00000X 020 Physicians 016 OB/GYN 1003008525 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist 1003010570 207R00000X 020 Physicians 011 Internal Medicine 1003011396 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology 1003013020 2085R0202X 020 Physicians 167 Diagnostic Radiology 1003015314 207Q00000X 020 Physicians 173 Family Medicine 1003017427 2084N0400X 020 Physicians 013 Neurology 1003027517 1223G0001X 012 Dental Providers 001 General Practice 1003027517 122300000X 012 Dental Providers 019 Dentists 1003027582 2085R0001X 020 Physicians 497 Oncology Radiation - Physician 1003038811 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant 1003044975 2085R0204X 020 Physicians 189 Vascular and Interventional Radiology 1003045097 208600000X 020 Physicians 275 Surgery 1003045097 2086S0102X 020 Physicians 539 Surgical Critical Care 1003052556 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant 1003055864 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist 1003056961 111N00000X 011 Chiropractic Providers 047 Chiropractor 1003061367 2085R0202X 020 Physicians 167 Diagnostic Radiology 1003063751 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker 1003074105 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics 1003076894 207R00000X 020 Physicians 011 Internal Medicine 1003076894 207Q00000X 020 Physicians 173 Family Medicine 1003079112 2085R0202X 020 Physicians 167 Diagnostic Radiology 1003087081 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist 1003097973 111N00000X 011 Chiropractic Providers 047 Chiropractor 1003098401 163W00000X 016 Nursing Service Providers 129 Registered Nurse 1003100595 207R00000X 020 Physicians 011 Internal Medicine 1003101049 207L00000X 020 Physicians 005 Anesthesiology 1003102419 207L00000X 020 Physicians 005 Anesthesiology 1003102419 207LP3000X 020 Physicians 412 Pediatric Anesthesiology 1003105958 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist 1 11/10/2021
Transcript of ND Medicaid Provider Taxonomy Listing-Individual How to ...
ND Medicaid Provider Taxonomy Listing-Individual
How to Search: Hold Control Key and Press F; Enter your search criteria (NPI #) in the upper right, Click NEXT in the search box
NPI Taxonomy Provider
1003006651 207V00000X 020 Physicians 016 OB/GYN
1003008525 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003010570 207R00000X 020 Physicians 011 Internal Medicine
1003011396 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1003013020 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003015314 207Q00000X 020 Physicians 173 Family Medicine
1003017427 2084N0400X 020 Physicians 013 Neurology
1003027517 1223G0001X 012 Dental Providers 001 General Practice
1003027517 122300000X 012 Dental Providers 019 Dentists
1003027582 2085R0001X 020 Physicians 497 Oncology Radiation - Physician
1003038811 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003044975 2085R0204X 020 Physicians 189 Vascular and Interventional Radiology
1003045097 208600000X 020 Physicians 275 Surgery
1003045097 2086S0102X 020 Physicians 539 Surgical Critical Care
1003052556 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003055864 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003056961 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003061367 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003063751 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1003074105 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1003076894 207R00000X 020 Physicians 011 Internal Medicine
1003076894 207Q00000X 020 Physicians 173 Family Medicine
1003079112 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003087081 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003097973 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003098401 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1003100595 207R00000X 020 Physicians 011 Internal Medicine
1003101049 207L00000X 020 Physicians 005 Anesthesiology
1003102419 207L00000X 020 Physicians 005 Anesthesiology
1003102419 207LP3000X 020 Physicians 412 Pediatric Anesthesiology
1003105958 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1 11/10/2021
NPI Taxonomy Provider
1003122151 207Q00000X 020 Physicians 173 Family Medicine
1003122987 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1003127903 207P00000X 020 Physicians 270 Emergency Medicine
1003135013 207T00000X 020 Physicians 014 Neurological Surgery
1003146861 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1003149790 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1003151564 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003157371 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003170952 207R00000X 020 Physicians 011 Internal Medicine
1003202797 208000000X 020 Physicians 049 Pediatrics
1003211855 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1003211855 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1003222878 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003234683 208M00000X 020 Physicians 344 Hospitalist
1003237736 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1003242256 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003252909 207V00000X 020 Physicians 016 OB/GYN
1003253634 207W00000X 020 Physicians 018 Ophthalmology
1003255381 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003259854 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003265752 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1003265752 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1003269234 207R00000X 020 Physicians 011 Internal Medicine
1003270687 207X00000X 020 Physicians 020 Orthopedic Surgery
1003271008 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1003271784 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003278243 2085R0001X 020 Physicians 497 Oncology Radiation - Physician
1003287079 207R00000X 020 Physicians 011 Internal Medicine
1003291840 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1003298316 207L00000X 020 Physicians 005 Anesthesiology
1003298548 207P00000X 020 Physicians 270 Emergency Medicine
1003307182 1223G0001X 012 Dental Providers 001 General Practice
2 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1003314196 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1003314196 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1003314261 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003324575 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1003334830 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003345323 207P00000X 020 Physicians 270 Emergency Medicine
1003353889 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003358755 1223P0221X 012 Dental Providers 063 Pedodontics
1003362427 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1003363151 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003370149 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003371782 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003381054 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003383878 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003388638 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1003392887 231H00000X 023 Speech Language and Hearing Svc Prov 087 Audiologist
1003397316 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003398389 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003407412 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003414053 376J00000X 048 Qualified Service Provider 180 Homemaker
1003414053 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1003414053 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003415563 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1003415563 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003416934 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003418013 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003418013 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1003419847 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1003419847 372600000X 048 Qualified Service Provider 513 Supervision
1003419847 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003419847 3747P1801X 048 Qualified Service Provider 081 Respite Care
1003419847 376J00000X 048 Qualified Service Provider 180 Homemaker
3 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1003420175 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1003420175 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1003422478 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003427642 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003430786 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003433301 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003434879 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003446097 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003451204 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003452822 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003459447 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1003462201 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1003468893 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1003468984 207Q00000X 020 Physicians 173 Family Medicine
1003472317 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1003473752 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003477894 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1003496589 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1003497488 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003802430 208200000X 020 Physicians 024 Plastic Surgery
1003805730 1223G0001X 012 Dental Providers 001 General Practice
1003805730 122300000X 012 Dental Providers 019 Dentists
1003811316 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003814484 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003829417 208G00000X 020 Physicians 033 Thoracic Surgery
1003833773 208000000X 020 Physicians 049 Pediatrics
1003834995 207V00000X 020 Physicians 016 OB/GYN
1003835984 207Q00000X 020 Physicians 173 Family Medicine
1003837220 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003837964 207Q00000X 020 Physicians 173 Family Medicine
1003838590 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003840687 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
4 11/10/2021
NPI Taxonomy Provider
1003844648 207Q00000X 020 Physicians 173 Family Medicine
1003847385 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003847971 207Q00000X 020 Physicians 173 Family Medicine
1003849092 208600000X 020 Physicians 275 Surgery
1003850173 208000000X 020 Physicians 049 Pediatrics
1003850173 2080P0204X 020 Physicians 561 Pediatric Emergency Medicine; Pediatrics
1003859117 1223S0112X 012 Dental Providers 212 Oral Maxillofacial Surgery
1003859117 1223G0001X 012 Dental Providers 001 General Practice
1003862756 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1003869637 208600000X 020 Physicians 275 Surgery
1003879545 207Q00000X 020 Physicians 173 Family Medicine
1003880733 208M00000X 020 Physicians 344 Hospitalist
1003881251 207L00000X 020 Physicians 005 Anesthesiology
1003881558 207Y00000X 020 Physicians 217 Otolaryngology
1003881715 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003883703 207L00000X 020 Physicians 005 Anesthesiology
1003887076 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1003893355 207Y00000X 020 Physicians 217 Otolaryngology
1003893686 207ZH0000X 020 Physicians 560 Hematology; Pathology
1003893686 207ZP0101X 020 Physicians 436 Anatomic Pathology
1003893686 207ZP0101X 020 Physicians 022 Pathology
1003893686 207ZP0105X 020 Physicians 136 Clinical Pathology/Laboratory Medicine
1003893769 207L00000X 020 Physicians 005 Anesthesiology
1003894171 207L00000X 020 Physicians 005 Anesthesiology
1003894312 208100000X 020 Physicians 025 Physical Medicine and Rehab
1003894312 2081S0010X 020 Physicians 548 Physical Medicine & Rehabilitation; Spor
1003894338 207L00000X 020 Physicians 005 Anesthesiology
1003901356 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003902354 207X00000X 020 Physicians 020 Orthopedic Surgery
1003907809 207V00000X 020 Physicians 016 OB/GYN
1003907841 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
5 11/10/2021
NPI Taxonomy Provider
1003908492 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003913112 2084P0800X 020 Physicians 121 Psychiatry
1003913526 208M00000X 020 Physicians 344 Hospitalist
1003913898 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003914730 2084P0800X 020 Physicians 121 Psychiatry
1003923780 207RC0000X 020 Physicians 006 Cardiovascular Disease
1003928797 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003932518 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1003934878 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003963042 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003997230 207RC0200X 020 Physicians 206 Critical Care Medicine
1013001114 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1013001114 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1013001114 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1013003540 207Q00000X 020 Physicians 173 Family Medicine
1013003755 207Q00000X 020 Physicians 173 Family Medicine
1013004969 208000000X 020 Physicians 049 Pediatrics
1013006253 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013006253 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1013006253 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1013008655 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1013015783 208M00000X 020 Physicians 344 Hospitalist
1013015783 208000000X 020 Physicians 049 Pediatrics
1013016989 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013016989 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1013030097 207P00000X 020 Physicians 270 Emergency Medicine
1013049683 207L00000X 020 Physicians 005 Anesthesiology
1013053982 2080P0210X 020 Physicians 232 Pediatric Nephrology
1013054063 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013057959 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013089937 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1013089937 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
6 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1013096049 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013100973 208M00000X 020 Physicians 344 Hospitalist
1013124981 207Q00000X 020 Physicians 173 Family Medicine
1013125913 207T00000X 020 Physicians 014 Neurological Surgery
1013126325 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1013128222 207R00000X 020 Physicians 011 Internal Medicine
1013128222 207RI0011X 020 Physicians 188 Interventional Cardiology
1013128917 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013131325 207XS0106X 020 Physicians 214 Orthopedic Hand Surgery
1013141738 208000000X 020 Physicians 049 Pediatrics
1013141738 207R00000X 020 Physicians 011 Internal Medicine
1013143346 208100000X 020 Physicians 025 Physical Medicine and Rehab
1013144401 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1013144773 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013146836 207N00000X 020 Physicians 007 Dermatology
1013147263 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013163963 207V00000X 020 Physicians 016 OB/GYN
1013166925 207P00000X 020 Physicians 270 Emergency Medicine
1013171800 208600000X 020 Physicians 275 Surgery
1013171800 207RC0200X 020 Physicians 206 Critical Care Medicine
1013176759 207RN0300X 020 Physicians 105 Nephrology
1013176759 207R00000X 020 Physicians 011 Internal Medicine
1013178326 207Q00000X 020 Physicians 173 Family Medicine
1013179241 208000000X 020 Physicians 049 Pediatrics
1013179407 2080P0202X 020 Physicians 221 Pediatric Cardiology
1013181130 207RI0200X 020 Physicians 185 Infectious Diseases
1013205947 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013220490 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013220508 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013233436 207L00000X 020 Physicians 005 Anesthesiology
1013233840 207L00000X 020 Physicians 005 Anesthesiology
1013242999 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
7 11/10/2021
NPI Taxonomy Provider
1013260850 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1013270503 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013270503 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013277987 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013278571 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1013278977 208000000X 020 Physicians 049 Pediatrics
1013282425 207X00000X 020 Physicians 020 Orthopedic Surgery
1013282524 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013295260 208600000X 020 Physicians 275 Surgery
1013301217 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1013301217 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013304435 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013306885 2084N0402X 020 Physicians 522 Neurology with Spec Qual in Child Neuro
1013313535 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013319193 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1013319334 363LA2200X 036 Phys Assts and Advanced Nursing Provs 431 Nurse Practitioner Adult Health
1013322387 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013322387 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013326149 207L00000X 020 Physicians 005 Anesthesiology
1013326149 207LC0200X 020 Physicians 573 Anesthesiology; Critical Care Medicine
1013343284 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013347186 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013354018 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013354018 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013356781 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013357573 207RE0101X 020 Physicians 168 Endocrinology Diabetes & Metabolism
1013360197 207Q00000X 020 Physicians 173 Family Medicine
1013361161 207RP1001X 020 Physicians 029 Pulmonary Diseases
1013370352 207P00000X 020 Physicians 270 Emergency Medicine
1013375500 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013395706 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
8 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1013395839 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013398445 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013399112 207Q00000X 020 Physicians 173 Family Medicine
1013399112 207P00000X 020 Physicians 270 Emergency Medicine
1013402429 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1013413756 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013438936 2084P0800X 020 Physicians 121 Psychiatry
1013454818 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013462183 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013482090 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013483692 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013486166 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013486166 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1013495324 363AS0400X 036 Phys Assts and Advanced Nursing Provs 519 Physician Assistant; Surgical
1013503531 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013503531 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1013503531 376J00000X 048 Qualified Service Provider 180 Homemaker
1013503531 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013503531 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1013503531 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013503531 372600000X 048 Qualified Service Provider 637 Companionship
1013503531 372600000X 048 Qualified Service Provider 513 Supervision
1013503531 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1013503911 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1013504372 376J00000X 048 Qualified Service Provider 180 Homemaker
1013504372 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013504463 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013504844 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013504844 376J00000X 048 Qualified Service Provider 180 Homemaker
1013504844 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1013504844 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1013504844 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
9 11/10/2021
NPI Taxonomy Provider
1013504844 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013510262 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013513670 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013513670 376J00000X 048 Qualified Service Provider 180 Homemaker
1013513993 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013513993 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013513993 376J00000X 048 Qualified Service Provider 180 Homemaker
1013515899 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013515899 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1013515899 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013515972 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013515972 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013517663 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013533520 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013542182 103TC2200X 010 Behav Health & Social Svc Prov 523 Clinical Child & Adolescent
1013557669 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013564624 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013573682 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013576883 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1013579424 207Q00000X 020 Physicians 173 Family Medicine
1013585207 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013587476 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1013591213 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013591213 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013591213 376J00000X 048 Qualified Service Provider 180 Homemaker
1013595487 376J00000X 048 Qualified Service Provider 180 Homemaker
1013595487 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013595487 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013689017 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013689017 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013689017 376J00000X 048 Qualified Service Provider 180 Homemaker
1013900505 208M00000X 020 Physicians 344 Hospitalist
10 11/10/2021
NPI Taxonomy Provider
1013919638 111N00000X 011 Chiropractic Providers 047 Chiropractor
1013929371 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1013929371 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013930833 364SP0807X 036 Phys Assts and Advanced Nursing Provs 629 Clinical Nurse Specialist Child&Adol
1013934017 207R00000X 020 Physicians 011 Internal Medicine
1013934017 208M00000X 020 Physicians 344 Hospitalist
1013934652 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1013934652 101YP2500X 010 Behav Health & Social Svc Prov 194 Counselor Professional
1013934785 207Q00000X 020 Physicians 173 Family Medicine
1013934793 363LX0001X 036 Phys Assts and Advanced Nursing Provs 434 Nurse Practitioner OB/GYN
1013934793 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013934975 207Q00000X 020 Physicians 173 Family Medicine
1013934975 207P00000X 020 Physicians 270 Emergency Medicine
1013935600 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013935667 207R00000X 020 Physicians 011 Internal Medicine
1013935667 207RH0003X 020 Physicians 179 Hematology/Oncology
1013935717 207RI0200X 020 Physicians 185 Infectious Diseases
1013935782 207Q00000X 020 Physicians 173 Family Medicine
1013938232 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013938752 207RH0000X 020 Physicians 178 Hematology
1013938752 207RH0003X 020 Physicians 179 Hematology/Oncology
1013939693 207X00000X 020 Physicians 020 Orthopedic Surgery
1013948116 207RC0200X 020 Physicians 206 Critical Care Medicine
1013948116 208VP0000X 020 Physicians 219 Otolaryngology; Pain Medicine
1013948116 208VP0014X 020 Physicians 524 Internventional Pain Medicine
1013948116 207L00000X 020 Physicians 005 Anesthesiology
1013955848 207RG0100X 020 Physicians 010 Gastroenterology
1013957646 207L00000X 020 Physicians 005 Anesthesiology
1013958883 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013968981 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013970482 207RG0100X 020 Physicians 010 Gastroenterology
11 11/10/2021
NPI Taxonomy Provider
1013981927 208000000X 020 Physicians 049 Pediatrics
1013982172 207P00000X 020 Physicians 270 Emergency Medicine
1013984012 207RC0000X 020 Physicians 006 Cardiovascular Disease
1013985001 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013989359 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013990555 207P00000X 020 Physicians 270 Emergency Medicine
1013990555 207PE0004X 020 Physicians 093 Emergency Medical Services
1013994730 2080P0206X 020 Physicians 227 Pediatric Gastroenterology
1013994730 208000000X 020 Physicians 049 Pediatrics
1013995356 207RI0200X 020 Physicians 185 Infectious Diseases
1013996008 208M00000X 020 Physicians 344 Hospitalist
1013996008 207Q00000X 020 Physicians 173 Family Medicine
1013996008 207P00000X 020 Physicians 270 Emergency Medicine
1013996065 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013999572 208100000X 020 Physicians 025 Physical Medicine and Rehab
1023024213 207V00000X 020 Physicians 016 OB/GYN
1023030517 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023030517 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023030665 207Q00000X 020 Physicians 173 Family Medicine
1023034329 2080N0001X 020 Physicians 502 Neonatal-Perinatal Medicine
1023035029 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023035029 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1023036753 207P00000X 020 Physicians 270 Emergency Medicine
1023036753 207R00000X 020 Physicians 011 Internal Medicine
1023039245 2084N0400X 020 Physicians 013 Neurology
1023039369 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023049566 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023051810 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023051810 207ZP0105X 020 Physicians 136 Clinical Pathology/Laboratory Medicine
1023054210 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1023057429 207Q00000X 020 Physicians 173 Family Medicine
12 11/10/2021
NPI Taxonomy Provider
1023065182 207L00000X 020 Physicians 005 Anesthesiology
1023068137 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023075975 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1023075975 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023080751 2080P0206X 020 Physicians 227 Pediatric Gastroenterology
1023083169 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023083169 207ZP0101X 020 Physicians 022 Pathology
1023085677 207L00000X 020 Physicians 005 Anesthesiology
1023089414 207RC0000X 020 Physicians 006 Cardiovascular Disease
1023092491 207L00000X 020 Physicians 005 Anesthesiology
1023093770 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023094539 208000000X 020 Physicians 049 Pediatrics
1023094539 2080P0006X 020 Physicians 223 Pediatric Developmental & Beha
1023094737 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023094810 207L00000X 020 Physicians 005 Anesthesiology
1023095486 207T00000X 020 Physicians 014 Neurological Surgery
1023096880 207Q00000X 020 Physicians 173 Family Medicine
1023097078 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023097565 208600000X 020 Physicians 275 Surgery
1023097755 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023098316 207L00000X 020 Physicians 005 Anesthesiology
1023098316 207RC0200X 020 Physicians 206 Critical Care Medicine
1023098332 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023098837 207V00000X 020 Physicians 016 OB/GYN
1023099488 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023102118 207Y00000X 020 Physicians 217 Otolaryngology
1023105020 207Y00000X 020 Physicians 217 Otolaryngology
1023109139 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023109253 207V00000X 020 Physicians 016 OB/GYN
1023115805 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
13 11/10/2021
NPI Taxonomy Provider
1023116373 207P00000X 020 Physicians 270 Emergency Medicine
1023149655 111N00000X 011 Chiropractic Providers 047 Chiropractor
1023153921 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1023154879 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023161585 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023164845 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023182110 207Q00000X 020 Physicians 173 Family Medicine
1023191590 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1023192143 111N00000X 011 Chiropractic Providers 047 Chiropractor
1023193646 207V00000X 020 Physicians 016 OB/GYN
1023211695 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023227162 2084N0400X 020 Physicians 013 Neurology
1023234135 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023242567 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023244977 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023246824 208M00000X 020 Physicians 344 Hospitalist
1023246915 208600000X 020 Physicians 275 Surgery
1023254398 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1023258472 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023268711 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023271020 1223P0221X 012 Dental Providers 063 Pedodontics
1023273273 208M00000X 020 Physicians 344 Hospitalist
1023283066 207P00000X 020 Physicians 270 Emergency Medicine
1023284288 207R00000X 020 Physicians 011 Internal Medicine
1023295300 207RG0100X 020 Physicians 010 Gastroenterology
1023300688 207Q00000X 020 Physicians 173 Family Medicine
1023303112 2080P0204X 020 Physicians 561 Pediatric Emergency Medicine; Pediatrics
1023303112 208000000X 020 Physicians 049 Pediatrics
1023303112 207P00000X 020 Physicians 270 Emergency Medicine
1023303112 207PP0204X 020 Physicians 225 Pediatric Emergency Medicine
1023303625 208M00000X 020 Physicians 344 Hospitalist
1023308632 2080P0202X 020 Physicians 221 Pediatric Cardiology
14 11/10/2021
NPI Taxonomy Provider
1023308665 207P00000X 020 Physicians 270 Emergency Medicine
1023316874 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1023316874 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1023316874 101Y00000X 010 Behav Health & Social Svc Prov 152 Counselor
1023320314 208600000X 020 Physicians 275 Surgery
1023329513 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023338282 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023347796 111N00000X 011 Chiropractic Providers 047 Chiropractor
1023351061 207RG0100X 020 Physicians 010 Gastroenterology
1023363108 1223G0001X 012 Dental Providers 001 General Practice
1023363108 122300000X 012 Dental Providers 019 Dentists
1023363587 213ES0103X 021 Podiatric Medicine & Surgery Service 541 Surgery Foot & Ankle
1023370061 2084P0800X 020 Physicians 121 Psychiatry
1023370780 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023371374 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023374352 207R00000X 020 Physicians 011 Internal Medicine
1023374964 207W00000X 020 Physicians 018 Ophthalmology
1023378726 207VM0101X 020 Physicians 404 Maternal & Fetal Medicine
1023390663 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023397221 208M00000X 020 Physicians 344 Hospitalist
1023398898 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023400140 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1023400355 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023406121 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1023412228 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1023412228 363LN0005X 036 Phys Assts and Advanced Nursing Provs 466 Nurse Practitioner- Neonatal-Critcl Care
1023422763 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1023422805 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1023422805 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023422805 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023440617 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1023440617 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
15 11/10/2021
NPI Taxonomy Provider
1023451689 207P00000X 020 Physicians 270 Emergency Medicine
1023455029 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023455029 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023461100 208000000X 020 Physicians 049 Pediatrics
1023469715 207V00000X 020 Physicians 016 OB/GYN
1023473725 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1023474178 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023491909 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023491909 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023494382 208M00000X 020 Physicians 344 Hospitalist
1023497112 207RP1001X 020 Physicians 029 Pulmonary Diseases
1023502069 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1023504073 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023511664 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023522489 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1023522489 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1023522489 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1023522976 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1023524451 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023524964 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023538451 122300000X 012 Dental Providers 019 Dentists
1023540804 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1023546249 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023550951 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1023553492 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023553849 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1023555174 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023560448 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023564887 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1023568516 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023572625 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1023572625 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
16 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1023580453 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023583101 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023584919 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1023585833 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023590643 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023605409 376J00000X 048 Qualified Service Provider 180 Homemaker
1023605409 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1023605409 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1023605409 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1023605409 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023609781 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023609781 376J00000X 048 Qualified Service Provider 180 Homemaker
1023609781 3747P1801X 048 Qualified Service Provider 081 Respite Care
1023609781 385H00000X 048 Qualified Service Provider 081 Respite Care
1023610474 376J00000X 048 Qualified Service Provider 180 Homemaker
1023610474 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023610474 3747P1801X 048 Qualified Service Provider 081 Respite Care
1023613957 163WC1500X 048 Qualified Service Provider 655 Extended Personal Care-Nurse
1023613957 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023613957 376J00000X 048 Qualified Service Provider 180 Homemaker
1023613957 163WC1500X 048 Qualified Service Provider 396 Nurse Education Care
1023613957 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1023617032 376J00000X 048 Qualified Service Provider 180 Homemaker
1023617032 3747P1801X 048 Qualified Service Provider 081 Respite Care
1023617032 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023617032 372600000X 048 Qualified Service Provider 513 Supervision
1023617115 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023617115 376J00000X 048 Qualified Service Provider 180 Homemaker
1023617669 376J00000X 048 Qualified Service Provider 180 Homemaker
1023617669 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023617669 372600000X 048 Qualified Service Provider 513 Supervision
1023617669 3747P1801X 048 Qualified Service Provider 081 Respite Care
17 11/10/2021
NPI Taxonomy Provider
1023617669 3747P1801X 048 Qualified Service Provider 318 Adult Family Foster Care
1023617669 372500000X 048 Qualified Service Provider 309 Chore-Labor
1023626462 207Q00000X 020 Physicians 173 Family Medicine
1023626595 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1023633096 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023633443 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1023648557 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023649860 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023654787 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023654845 367A00000X 036 Phys Assts and Advanced Nursing Provs 485 Advanced Practice Midwife
1023659687 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023663598 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023683323 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1023683323 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1023683323 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1023683794 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023685542 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033100045 207RC0001X 020 Physicians 084 Clinical Cardiac Electophysiology
1033104120 207L00000X 020 Physicians 005 Anesthesiology
1033111315 207RI0011X 020 Physicians 188 Interventional Cardiology
1033113519 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033123351 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033129598 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033130216 207T00000X 020 Physicians 014 Neurological Surgery
1033130372 208000000X 020 Physicians 049 Pediatrics
1033131628 207R00000X 020 Physicians 011 Internal Medicine
1033134374 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1033136031 207PE0004X 020 Physicians 093 Emergency Medical Services
1033136031 207P00000X 020 Physicians 270 Emergency Medicine
1033136676 204F00000X 020 Physicians 279 Transplant Surgery
1033136999 207Q00000X 020 Physicians 173 Family Medicine
1033137070 122300000X 012 Dental Providers 019 Dentists
18 11/10/2021
NPI Taxonomy Provider
1033137682 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033139324 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033141353 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033144597 208800000X 020 Physicians 034 Urology
1033146188 2080P0210X 020 Physicians 232 Pediatric Nephrology
1033146543 208G00000X 020 Physicians 033 Thoracic Surgery
1033147210 2084P0800X 020 Physicians 121 Psychiatry
1033148853 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1033148853 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033149364 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1033149364 207ZP0101X 020 Physicians 022 Pathology
1033150024 207Q00000X 020 Physicians 173 Family Medicine
1033154760 207X00000X 020 Physicians 020 Orthopedic Surgery
1033167416 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033174370 207ZH0000X 020 Physicians 560 Hematology; Pathology
1033178231 2084N0400X 020 Physicians 013 Neurology
1033181953 207L00000X 020 Physicians 005 Anesthesiology
1033183520 207RC0000X 020 Physicians 006 Cardiovascular Disease
1033191200 208600000X 020 Physicians 275 Surgery
1033192679 207RC0200X 020 Physicians 206 Critical Care Medicine
1033193909 2080P0006X 020 Physicians 223 Pediatric Developmental & Beha
1033195029 207X00000X 020 Physicians 020 Orthopedic Surgery
1033196944 207L00000X 020 Physicians 005 Anesthesiology
1033196944 208VP0000X 020 Physicians 219 Otolaryngology; Pain Medicine
1033197744 208600000X 020 Physicians 275 Surgery
1033197744 204F00000X 020 Physicians 279 Transplant Surgery
1033198163 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033198684 207L00000X 020 Physicians 005 Anesthesiology
1033199807 207R00000X 020 Physicians 011 Internal Medicine
1033200837 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033206495 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1033210570 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
19 11/10/2021
NPI Taxonomy Provider
1033216817 208600000X 020 Physicians 275 Surgery
1033217955 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1033223094 122300000X 012 Dental Providers 019 Dentists
1033229521 122300000X 012 Dental Providers 019 Dentists
1033230701 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033232608 207RG0100X 020 Physicians 010 Gastroenterology
1033243605 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033258520 2080P0214X 020 Physicians 240 Pediatric Pulmonology
1033260146 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033262506 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033274394 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033274816 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1033283379 2084N0400X 020 Physicians 013 Neurology
1033288154 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033294392 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033302062 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1033302286 2080H0002X 020 Physicians 542 Pediatric Hospice & Palliative Medicine
1033305024 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033309638 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033311089 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033311139 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033315718 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033317854 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033348545 207P00000X 020 Physicians 270 Emergency Medicine
1033352307 208VP0014X 020 Physicians 524 Internventional Pain Medicine
1033363627 208000000X 020 Physicians 049 Pediatrics
1033364013 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033364013 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1033369608 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033374954 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033379151 2085R0202X 020 Physicians 167 Diagnostic Radiology
20 11/10/2021
NPI Taxonomy Provider
1033383930 3747P1801X 048 Qualified Service Provider 081 Respite Care
1033395017 207P00000X 020 Physicians 270 Emergency Medicine
1033397294 207L00000X 020 Physicians 005 Anesthesiology
1033398458 1223G0001X 012 Dental Providers 001 General Practice
1033400031 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033404108 207Q00000X 020 Physicians 173 Family Medicine
1033404546 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033417571 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033419585 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1033420377 231H00000X 023 Speech Language and Hearing Svc Prov 087 Audiologist
1033421698 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033430780 207R00000X 020 Physicians 011 Internal Medicine
1033442678 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033442744 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033454319 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033456033 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033476569 207T00000X 020 Physicians 014 Neurological Surgery
1033477021 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1033477021 101YP2500X 010 Behav Health & Social Svc Prov 194 Counselor Professional
1033477021 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1033485842 207L00000X 020 Physicians 005 Anesthesiology
1033491576 208000000X 020 Physicians 049 Pediatrics
1033501697 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033506308 207R00000X 020 Physicians 011 Internal Medicine
1033515788 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033521901 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033523907 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033525365 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1033525860 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033528740 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033534631 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
21 11/10/2021
NPI Taxonomy Provider
1033537105 208000000X 020 Physicians 049 Pediatrics
1033537295 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1033538194 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1033538822 207V00000X 020 Physicians 016 OB/GYN
1033539598 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033539937 2084P0804X 020 Physicians 142 Psychiatry; Child/Adolescent
1033541065 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1033541610 207RN0300X 020 Physicians 105 Nephrology
1033544382 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033551114 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033551569 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033553409 208800000X 020 Physicians 034 Urology
1033554316 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1033555370 2080P0204X 020 Physicians 561 Pediatric Emergency Medicine; Pediatrics
1033556295 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033558523 207V00000X 020 Physicians 016 OB/GYN
1033559620 207RP1001X 020 Physicians 029 Pulmonary Diseases
1033559620 207R00000X 020 Physicians 011 Internal Medicine
1033565601 207R00000X 020 Physicians 011 Internal Medicine
1033572698 207W00000X 020 Physicians 018 Ophthalmology
1033585401 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033591250 207L00000X 020 Physicians 005 Anesthesiology
1033591961 207P00000X 020 Physicians 270 Emergency Medicine
1033593025 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033598214 207RG0300X 020 Physicians 587 Internal Medicine; Geriatric Medicine
1033598214 208M00000X 020 Physicians 344 Hospitalist
1033598214 207R00000X 020 Physicians 011 Internal Medicine
1033600903 164W00000X 016 Nursing Service Providers 130 Licensed Practical Nurse
1033600903 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1033602644 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1033603683 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
22 11/10/2021
NPI Taxonomy Provider
1033609698 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033622568 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033624127 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033627039 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1033630231 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033631296 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1033631296 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1033631296 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033631296 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1033639687 208600000X 020 Physicians 275 Surgery
1033641501 207P00000X 020 Physicians 270 Emergency Medicine
1033655907 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033657556 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033661509 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033664487 208M00000X 020 Physicians 344 Hospitalist
1033665310 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033665963 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033675574 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033676010 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033680517 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1033680517 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033680517 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033687652 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033690458 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033706593 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033706882 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033711544 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033711635 376J00000X 048 Qualified Service Provider 180 Homemaker
1033711635 3747P1801X 048 Qualified Service Provider 081 Respite Care
1033711635 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1033712450 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1033712682 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
23 11/10/2021
NPI Taxonomy Provider
1033712682 3747P1801X 048 Qualified Service Provider 081 Respite Care
1033728357 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033736376 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033739925 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033743133 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1033743133 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1033743133 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033749924 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033750732 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033752530 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033765995 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033770201 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033771639 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033772157 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1033775747 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033779509 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1033785746 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1033787338 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1033787338 372600000X 048 Qualified Service Provider 513 Supervision
1033787338 376J00000X 048 Qualified Service Provider 180 Homemaker
1033787338 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1033790860 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1033793518 376J00000X 048 Qualified Service Provider 180 Homemaker
1033793518 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1033883962 376J00000X 048 Qualified Service Provider 180 Homemaker
1033883962 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043210461 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043216799 207V00000X 020 Physicians 016 OB/GYN
1043221880 111N00000X 011 Chiropractic Providers 047 Chiropractor
1043224348 207Q00000X 020 Physicians 173 Family Medicine
1043226939 207L00000X 020 Physicians 005 Anesthesiology
1043227630 207T00000X 020 Physicians 014 Neurological Surgery
24 11/10/2021
NPI Taxonomy Provider
1043228745 204F00000X 020 Physicians 279 Transplant Surgery
1043231269 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043231384 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1043237035 207RI0200X 020 Physicians 185 Infectious Diseases
1043237522 207Q00000X 020 Physicians 173 Family Medicine
1043240658 207V00000X 020 Physicians 016 OB/GYN
1043240914 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043242290 207Q00000X 020 Physicians 173 Family Medicine
1043243041 208000000X 020 Physicians 049 Pediatrics
1043243314 207L00000X 020 Physicians 005 Anesthesiology
1043255755 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043262629 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043262694 2084P0800X 020 Physicians 121 Psychiatry
1043264567 207L00000X 020 Physicians 005 Anesthesiology
1043266224 207L00000X 020 Physicians 005 Anesthesiology
1043280027 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043280332 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1043280530 207X00000X 020 Physicians 020 Orthopedic Surgery
1043281397 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043282064 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043282296 2080P0205X 020 Physicians 226 Pediatric Endocrinology
1043283203 207V00000X 020 Physicians 016 OB/GYN
1043287311 2085P0229X 020 Physicians 241 Pediatric Radiology
1043297633 207N00000X 020 Physicians 007 Dermatology
1043298169 207L00000X 020 Physicians 005 Anesthesiology
1043298227 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043298540 207T00000X 020 Physicians 014 Neurological Surgery
1043302474 207Q00000X 020 Physicians 173 Family Medicine
1043307697 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1043308372 207W00000X 020 Physicians 018 Ophthalmology
1043309065 207Q00000X 020 Physicians 173 Family Medicine
1043310188 2085R0202X 020 Physicians 167 Diagnostic Radiology
25 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043316524 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1043318264 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043321987 207RG0100X 020 Physicians 010 Gastroenterology
1043345887 208000000X 020 Physicians 049 Pediatrics
1043351810 207ZP0101X 020 Physicians 022 Pathology
1043351810 207ZP0101X 020 Physicians 436 Anatomic Pathology
1043351810 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1043356405 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043378912 207V00000X 020 Physicians 016 OB/GYN
1043382773 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043404585 208M00000X 020 Physicians 344 Hospitalist
1043420722 207RG0100X 020 Physicians 010 Gastroenterology
1043426034 207RH0003X 020 Physicians 179 Hematology/Oncology
1043429087 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
1043430010 207RC0200X 020 Physicians 206 Critical Care Medicine
1043430572 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043430796 1223G0001X 012 Dental Providers 001 General Practice
1043439334 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1043441363 1223X0400X 012 Dental Providers 064 Orthodontics
1043447915 207N00000X 020 Physicians 007 Dermatology
1043453772 207V00000X 020 Physicians 016 OB/GYN
1043461536 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043462831 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1043465644 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043467152 122300000X 012 Dental Providers 019 Dentists
1043470776 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043473382 207RC0001X 020 Physicians 084 Clinical Cardiac Electophysiology
1043474729 122300000X 012 Dental Providers 019 Dentists
1043476732 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043484710 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1043485634 2084P0800X 020 Physicians 121 Psychiatry
1043489925 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
26 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043501190 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1043501190 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1043501190 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043505654 208600000X 020 Physicians 275 Surgery
1043507007 208000000X 020 Physicians 049 Pediatrics
1043508526 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043519713 2084N0402X 020 Physicians 522 Neurology with Spec Qual in Child Neuro
1043519796 207Q00000X 020 Physicians 173 Family Medicine
1043521636 208G00000X 020 Physicians 033 Thoracic Surgery
1043521636 207RP1001X 020 Physicians 029 Pulmonary Diseases
1043521636 208600000X 020 Physicians 275 Surgery
1043521685 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1043521685 208600000X 020 Physicians 275 Surgery
1043524465 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043531023 207P00000X 020 Physicians 270 Emergency Medicine
1043539422 207XP3100X 020 Physicians 237 Pediatric Orthopedics
1043548548 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043551773 367A00000X 036 Phys Assts and Advanced Nursing Provs 485 Advanced Practice Midwife
1043552672 207L00000X 020 Physicians 005 Anesthesiology
1043561673 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043565765 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043566169 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043566607 208M00000X 020 Physicians 344 Hospitalist
1043566730 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043568611 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1043574460 213ES0103X 021 Podiatric Medicine & Surgery Service 541 Surgery Foot & Ankle
1043574460 213E00000X 021 Podiatric Medicine & Surgery Service 120 Podiatrist
1043576853 208000000X 020 Physicians 049 Pediatrics
1043577729 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1043577729 208600000X 020 Physicians 275 Surgery
1043599277 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1043599277 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
27 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043601883 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043604093 207L00000X 020 Physicians 005 Anesthesiology
1043604093 207RC0200X 020 Physicians 206 Critical Care Medicine
1043604218 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1043612609 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1043632185 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043634496 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1043650302 207R00000X 020 Physicians 011 Internal Medicine
1043650302 208M00000X 020 Physicians 344 Hospitalist
1043658560 101YP2500X 010 Behav Health & Social Svc Prov 194 Counselor Professional
1043658560 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1043659709 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1043660954 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1043661044 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043661978 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043666274 207N00000X 020 Physicians 007 Dermatology
1043666530 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1043668817 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043669310 122300000X 012 Dental Providers 019 Dentists
1043675705 111N00000X 011 Chiropractic Providers 047 Chiropractor
1043676414 207QS0010X 020 Physicians 273 Sports Medicine
1043690704 207V00000X 020 Physicians 016 OB/GYN
1043693849 207Q00000X 020 Physicians 173 Family Medicine
1043696420 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043696727 2084P0800X 020 Physicians 121 Psychiatry
1043698020 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1043699259 208M00000X 020 Physicians 344 Hospitalist
1043702145 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1043706567 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1043707250 163WD0400X 016 Nursing Service Providers 582 Registered Nurse; Diabetes Educator
1043709124 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1043716327 208800000X 020 Physicians 034 Urology
28 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043719735 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1043743784 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1043745573 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043745763 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1043745763 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1043745763 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1043746183 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1043746183 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1043759913 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043763220 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1043783574 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1043783996 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1043787815 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043792476 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043802945 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043803034 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1043807415 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043807431 171M00000X 049 1915i State Plan Amendment Services 643 Pre-Vocational
1043807431 171M00000X 049 1915i State Plan Amendment Services 644 Education
1043807431 172A00000X 049 1915i State Plan Amendment Services 387 Private Vehicle
1043807431 171M00000X 049 1915i State Plan Amendment Services 641 Care Coordination
1043807431 171M00000X 049 1915i State Plan Amendment Services 650 Housing Supports
1043807431 171M00000X 049 1915i State Plan Amendment Services 642 Supported Employment
1043807431 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043809445 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043809445 376J00000X 048 Qualified Service Provider 180 Homemaker
1043809445 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1043818982 376J00000X 048 Qualified Service Provider 180 Homemaker
1043818982 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819444 376J00000X 048 Qualified Service Provider 180 Homemaker
1043819444 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1043819444 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
29 11/10/2021
NPI Taxonomy Provider
1043819444 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819444 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1043819444 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1043819568 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1043819568 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819709 376J00000X 048 Qualified Service Provider 180 Homemaker
1043819709 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819709 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043819709 372600000X 048 Qualified Service Provider 513 Supervision
1043819709 3747P1801X 048 Qualified Service Provider 081 Respite Care
1043821739 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043824501 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043874316 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1043874316 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1043881634 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1043890080 171M00000X 049 1915i State Plan Amendment Services 650 Housing Supports
1043890080 171M00000X 049 1915i State Plan Amendment Services 641 Care Coordination
1043890080 347C00000X 049 1915i State Plan Amendment Services 387 Private Vehicle
1043890080 171M00000X 049 1915i State Plan Amendment Services 648 Benefits Planning
1043890619 376J00000X 048 Qualified Service Provider 180 Homemaker
1043890619 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043890619 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043897176 171M00000X 049 1915i State Plan Amendment Services 086 Respite Care
1043899743 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043899743 163WC1500X 048 Qualified Service Provider 655 Extended Personal Care-Nurse
1043899743 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043899743 376J00000X 048 Qualified Service Provider 180 Homemaker
1043899743 163WC1500X 048 Qualified Service Provider 396 Nurse Education Care
1043985559 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043985559 376J00000X 048 Qualified Service Provider 180 Homemaker
1053073833 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
30 11/10/2021
NPI Taxonomy Provider
1053084145 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1053084145 372600000X 048 Qualified Service Provider 637 Companionship
1053084145 376J00000X 048 Qualified Service Provider 180 Homemaker
1053084145 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1053084145 385H00000X 048 Qualified Service Provider 081 Respite Care
1053084145 3747P1801X 048 Qualified Service Provider 081 Respite Care
1053084145 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1053307025 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1053307025 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053310243 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1053324418 207Q00000X 020 Physicians 173 Family Medicine
1053327882 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053348755 207X00000X 020 Physicians 020 Orthopedic Surgery
1053349860 207RC0000X 020 Physicians 006 Cardiovascular Disease
1053349860 207RI0011X 020 Physicians 188 Interventional Cardiology
1053354662 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053355198 207P00000X 020 Physicians 270 Emergency Medicine
1053358325 207L00000X 020 Physicians 005 Anesthesiology
1053358655 207K00000X 020 Physicians 003 Allergy & Immunology
1053358655 2080P0201X 020 Physicians 108 Pediatric Allergy
1053358655 208000000X 020 Physicians 049 Pediatrics
1053365122 207Q00000X 020 Physicians 173 Family Medicine
1053376780 2085R0202X 020 Physicians 167 Diagnostic Radiology
1053379230 207Q00000X 020 Physicians 173 Family Medicine
1053381798 207Q00000X 020 Physicians 173 Family Medicine
1053385278 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053385468 1223X0400X 012 Dental Providers 064 Orthodontics
1053388777 207RG0100X 020 Physicians 010 Gastroenterology
1053388934 207RC0000X 020 Physicians 006 Cardiovascular Disease
1053389130 207RP1001X 020 Physicians 029 Pulmonary Diseases
1053389130 207RC0200X 020 Physicians 206 Critical Care Medicine
31 11/10/2021
NPI Taxonomy Provider
1053398347 208600000X 020 Physicians 275 Surgery
1053398347 204F00000X 020 Physicians 279 Transplant Surgery
1053398909 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053399246 207RH0000X 020 Physicians 178 Hematology
1053403485 207Q00000X 020 Physicians 173 Family Medicine
1053404756 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1053404806 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1053409086 2085R0204X 020 Physicians 189 Vascular and Interventional Radiology
1053413708 2085R0202X 020 Physicians 167 Diagnostic Radiology
1053417493 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1053417840 208600000X 020 Physicians 275 Surgery
1053418400 122300000X 012 Dental Providers 019 Dentists
1053419903 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053423525 2085R0202X 020 Physicians 167 Diagnostic Radiology
1053425603 2084N0402X 020 Physicians 522 Neurology with Spec Qual in Child Neuro
1053465641 207NP0225X 020 Physicians 222 Pediatric Dermatology
1053468223 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1053474411 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053474411 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053474882 122300000X 012 Dental Providers 019 Dentists
1053493494 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053497198 207RH0003X 020 Physicians 179 Hematology/Oncology
1053498824 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053499426 208M00000X 020 Physicians 344 Hospitalist
1053499426 207R00000X 020 Physicians 011 Internal Medicine
1053509273 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053509273 363LP2300X 036 Phys Assts and Advanced Nursing Provs 469 Nurse Practitioner- Primary Care
1053510982 1223G0001X 012 Dental Providers 001 General Practice
1053510982 122300000X 012 Dental Providers 019 Dentists
1053514844 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
1053520643 1223G0001X 012 Dental Providers 001 General Practice
32 11/10/2021
NPI Taxonomy Provider
1053530345 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1053541292 2084N0400X 020 Physicians 013 Neurology
1053542357 208000000X 020 Physicians 049 Pediatrics
1053542357 2080P0206X 020 Physicians 227 Pediatric Gastroenterology
1053546937 207QG0300X 020 Physicians 586 Family Medicine; Geriatric Medicine
1053546937 207QH0002X 020 Physicians 590 Family Medicine; Hospice & Palliative Me
1053546937 207RH0002X 020 Physicians 591 Internal Medicine; Hospice & Palliative
1053546937 207R00000X 020 Physicians 011 Internal Medicine
1053548107 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1053548107 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053548933 207P00000X 020 Physicians 270 Emergency Medicine
1053550228 2085R0001X 020 Physicians 497 Oncology Radiation - Physician
1053553768 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
1053555797 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053558247 363LP2300X 036 Phys Assts and Advanced Nursing Provs 469 Nurse Practitioner- Primary Care
1053559906 207RN0300X 020 Physicians 105 Nephrology
1053563957 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1053564278 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1053572735 207RC0200X 020 Physicians 206 Critical Care Medicine
1053572735 207RP1001X 020 Physicians 029 Pulmonary Diseases
1053573287 2084N0400X 020 Physicians 013 Neurology
1053575142 208000000X 020 Physicians 049 Pediatrics
1053575803 1223P0221X 012 Dental Providers 063 Pedodontics
1053576454 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053578005 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053581876 2080P0203X 020 Physicians 514 Pediatric Critical Care Medicine
1053599407 207RC0000X 020 Physicians 006 Cardiovascular Disease
1053612697 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053615575 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1053620849 363LN0005X 036 Phys Assts and Advanced Nursing Provs 466 Nurse Practitioner- Neonatal-Critcl Care
1053625459 2084N0400X 020 Physicians 013 Neurology
33 11/10/2021
NPI Taxonomy Provider
1053644492 122300000X 012 Dental Providers 019 Dentists
1053644492 1223G0001X 012 Dental Providers 001 General Practice
1053646430 122300000X 012 Dental Providers 019 Dentists
1053648360 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053648915 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1053674762 207P00000X 020 Physicians 270 Emergency Medicine
1053678755 207RP1001X 020 Physicians 029 Pulmonary Diseases
1053685024 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053685719 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053692020 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1053692566 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1053702290 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1053714220 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1053739458 207R00000X 020 Physicians 011 Internal Medicine
1053751743 207L00000X 020 Physicians 005 Anesthesiology
1053758300 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053763409 207Q00000X 020 Physicians 173 Family Medicine
1053774356 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053775668 208600000X 020 Physicians 275 Surgery
1053780486 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053792838 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1053797647 183500000X 018 Pharmacy 253 Pharmacist
1053802785 122300000X 012 Dental Providers 019 Dentists
1053803866 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1053806836 122300000X 012 Dental Providers 019 Dentists
1053806836 1223G0001X 012 Dental Providers 001 General Practice
1053807917 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1053808451 207Q00000X 020 Physicians 173 Family Medicine
1053814780 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053814780 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
34 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1053814780 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1053814780 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1053814780 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1053821090 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053823294 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053823294 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1053825224 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053828202 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1053831990 207Q00000X 020 Physicians 173 Family Medicine
1053832006 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053843771 207P00000X 020 Phy
How to Search: Hold Control Key and Press F; Enter your search criteria (NPI #) in the upper right, Click NEXT in the search box
NPI Taxonomy Provider
1003006651 207V00000X 020 Physicians 016 OB/GYN
1003008525 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003010570 207R00000X 020 Physicians 011 Internal Medicine
1003011396 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1003013020 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003015314 207Q00000X 020 Physicians 173 Family Medicine
1003017427 2084N0400X 020 Physicians 013 Neurology
1003027517 1223G0001X 012 Dental Providers 001 General Practice
1003027517 122300000X 012 Dental Providers 019 Dentists
1003027582 2085R0001X 020 Physicians 497 Oncology Radiation - Physician
1003038811 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003044975 2085R0204X 020 Physicians 189 Vascular and Interventional Radiology
1003045097 208600000X 020 Physicians 275 Surgery
1003045097 2086S0102X 020 Physicians 539 Surgical Critical Care
1003052556 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003055864 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003056961 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003061367 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003063751 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1003074105 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1003076894 207R00000X 020 Physicians 011 Internal Medicine
1003076894 207Q00000X 020 Physicians 173 Family Medicine
1003079112 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003087081 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003097973 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003098401 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1003100595 207R00000X 020 Physicians 011 Internal Medicine
1003101049 207L00000X 020 Physicians 005 Anesthesiology
1003102419 207L00000X 020 Physicians 005 Anesthesiology
1003102419 207LP3000X 020 Physicians 412 Pediatric Anesthesiology
1003105958 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1 11/10/2021
NPI Taxonomy Provider
1003122151 207Q00000X 020 Physicians 173 Family Medicine
1003122987 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1003127903 207P00000X 020 Physicians 270 Emergency Medicine
1003135013 207T00000X 020 Physicians 014 Neurological Surgery
1003146861 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1003149790 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1003151564 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003157371 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003170952 207R00000X 020 Physicians 011 Internal Medicine
1003202797 208000000X 020 Physicians 049 Pediatrics
1003211855 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1003211855 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1003222878 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003234683 208M00000X 020 Physicians 344 Hospitalist
1003237736 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1003242256 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003252909 207V00000X 020 Physicians 016 OB/GYN
1003253634 207W00000X 020 Physicians 018 Ophthalmology
1003255381 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003259854 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003265752 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1003265752 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1003269234 207R00000X 020 Physicians 011 Internal Medicine
1003270687 207X00000X 020 Physicians 020 Orthopedic Surgery
1003271008 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1003271784 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003278243 2085R0001X 020 Physicians 497 Oncology Radiation - Physician
1003287079 207R00000X 020 Physicians 011 Internal Medicine
1003291840 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1003298316 207L00000X 020 Physicians 005 Anesthesiology
1003298548 207P00000X 020 Physicians 270 Emergency Medicine
1003307182 1223G0001X 012 Dental Providers 001 General Practice
2 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1003314196 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1003314196 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1003314261 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003324575 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1003334830 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003345323 207P00000X 020 Physicians 270 Emergency Medicine
1003353889 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003358755 1223P0221X 012 Dental Providers 063 Pedodontics
1003362427 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1003363151 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003370149 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003371782 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003381054 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003383878 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003388638 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1003392887 231H00000X 023 Speech Language and Hearing Svc Prov 087 Audiologist
1003397316 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003398389 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003407412 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003414053 376J00000X 048 Qualified Service Provider 180 Homemaker
1003414053 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1003414053 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003415563 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1003415563 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003416934 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003418013 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003418013 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1003419847 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1003419847 372600000X 048 Qualified Service Provider 513 Supervision
1003419847 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1003419847 3747P1801X 048 Qualified Service Provider 081 Respite Care
1003419847 376J00000X 048 Qualified Service Provider 180 Homemaker
3 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1003420175 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1003420175 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1003422478 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003427642 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003430786 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1003433301 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003434879 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003446097 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003451204 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1003452822 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003459447 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1003462201 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1003468893 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1003468984 207Q00000X 020 Physicians 173 Family Medicine
1003472317 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1003473752 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003477894 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1003496589 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1003497488 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003802430 208200000X 020 Physicians 024 Plastic Surgery
1003805730 1223G0001X 012 Dental Providers 001 General Practice
1003805730 122300000X 012 Dental Providers 019 Dentists
1003811316 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003814484 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003829417 208G00000X 020 Physicians 033 Thoracic Surgery
1003833773 208000000X 020 Physicians 049 Pediatrics
1003834995 207V00000X 020 Physicians 016 OB/GYN
1003835984 207Q00000X 020 Physicians 173 Family Medicine
1003837220 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003837964 207Q00000X 020 Physicians 173 Family Medicine
1003838590 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1003840687 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
4 11/10/2021
NPI Taxonomy Provider
1003844648 207Q00000X 020 Physicians 173 Family Medicine
1003847385 2085R0202X 020 Physicians 167 Diagnostic Radiology
1003847971 207Q00000X 020 Physicians 173 Family Medicine
1003849092 208600000X 020 Physicians 275 Surgery
1003850173 208000000X 020 Physicians 049 Pediatrics
1003850173 2080P0204X 020 Physicians 561 Pediatric Emergency Medicine; Pediatrics
1003859117 1223S0112X 012 Dental Providers 212 Oral Maxillofacial Surgery
1003859117 1223G0001X 012 Dental Providers 001 General Practice
1003862756 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1003869637 208600000X 020 Physicians 275 Surgery
1003879545 207Q00000X 020 Physicians 173 Family Medicine
1003880733 208M00000X 020 Physicians 344 Hospitalist
1003881251 207L00000X 020 Physicians 005 Anesthesiology
1003881558 207Y00000X 020 Physicians 217 Otolaryngology
1003881715 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003883703 207L00000X 020 Physicians 005 Anesthesiology
1003887076 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1003893355 207Y00000X 020 Physicians 217 Otolaryngology
1003893686 207ZH0000X 020 Physicians 560 Hematology; Pathology
1003893686 207ZP0101X 020 Physicians 436 Anatomic Pathology
1003893686 207ZP0101X 020 Physicians 022 Pathology
1003893686 207ZP0105X 020 Physicians 136 Clinical Pathology/Laboratory Medicine
1003893769 207L00000X 020 Physicians 005 Anesthesiology
1003894171 207L00000X 020 Physicians 005 Anesthesiology
1003894312 208100000X 020 Physicians 025 Physical Medicine and Rehab
1003894312 2081S0010X 020 Physicians 548 Physical Medicine & Rehabilitation; Spor
1003894338 207L00000X 020 Physicians 005 Anesthesiology
1003901356 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1003902354 207X00000X 020 Physicians 020 Orthopedic Surgery
1003907809 207V00000X 020 Physicians 016 OB/GYN
1003907841 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
5 11/10/2021
NPI Taxonomy Provider
1003908492 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003913112 2084P0800X 020 Physicians 121 Psychiatry
1003913526 208M00000X 020 Physicians 344 Hospitalist
1003913898 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1003914730 2084P0800X 020 Physicians 121 Psychiatry
1003923780 207RC0000X 020 Physicians 006 Cardiovascular Disease
1003928797 111N00000X 011 Chiropractic Providers 047 Chiropractor
1003932518 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1003934878 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1003963042 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1003997230 207RC0200X 020 Physicians 206 Critical Care Medicine
1013001114 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1013001114 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1013001114 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1013003540 207Q00000X 020 Physicians 173 Family Medicine
1013003755 207Q00000X 020 Physicians 173 Family Medicine
1013004969 208000000X 020 Physicians 049 Pediatrics
1013006253 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013006253 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1013006253 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1013008655 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1013015783 208M00000X 020 Physicians 344 Hospitalist
1013015783 208000000X 020 Physicians 049 Pediatrics
1013016989 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013016989 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1013030097 207P00000X 020 Physicians 270 Emergency Medicine
1013049683 207L00000X 020 Physicians 005 Anesthesiology
1013053982 2080P0210X 020 Physicians 232 Pediatric Nephrology
1013054063 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013057959 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013089937 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1013089937 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
6 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1013096049 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013100973 208M00000X 020 Physicians 344 Hospitalist
1013124981 207Q00000X 020 Physicians 173 Family Medicine
1013125913 207T00000X 020 Physicians 014 Neurological Surgery
1013126325 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1013128222 207R00000X 020 Physicians 011 Internal Medicine
1013128222 207RI0011X 020 Physicians 188 Interventional Cardiology
1013128917 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013131325 207XS0106X 020 Physicians 214 Orthopedic Hand Surgery
1013141738 208000000X 020 Physicians 049 Pediatrics
1013141738 207R00000X 020 Physicians 011 Internal Medicine
1013143346 208100000X 020 Physicians 025 Physical Medicine and Rehab
1013144401 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1013144773 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013146836 207N00000X 020 Physicians 007 Dermatology
1013147263 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013163963 207V00000X 020 Physicians 016 OB/GYN
1013166925 207P00000X 020 Physicians 270 Emergency Medicine
1013171800 208600000X 020 Physicians 275 Surgery
1013171800 207RC0200X 020 Physicians 206 Critical Care Medicine
1013176759 207RN0300X 020 Physicians 105 Nephrology
1013176759 207R00000X 020 Physicians 011 Internal Medicine
1013178326 207Q00000X 020 Physicians 173 Family Medicine
1013179241 208000000X 020 Physicians 049 Pediatrics
1013179407 2080P0202X 020 Physicians 221 Pediatric Cardiology
1013181130 207RI0200X 020 Physicians 185 Infectious Diseases
1013205947 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013220490 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013220508 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013233436 207L00000X 020 Physicians 005 Anesthesiology
1013233840 207L00000X 020 Physicians 005 Anesthesiology
1013242999 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
7 11/10/2021
NPI Taxonomy Provider
1013260850 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1013270503 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013270503 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013277987 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013278571 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1013278977 208000000X 020 Physicians 049 Pediatrics
1013282425 207X00000X 020 Physicians 020 Orthopedic Surgery
1013282524 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013295260 208600000X 020 Physicians 275 Surgery
1013301217 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1013301217 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013304435 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013306885 2084N0402X 020 Physicians 522 Neurology with Spec Qual in Child Neuro
1013313535 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013319193 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1013319334 363LA2200X 036 Phys Assts and Advanced Nursing Provs 431 Nurse Practitioner Adult Health
1013322387 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013322387 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013326149 207L00000X 020 Physicians 005 Anesthesiology
1013326149 207LC0200X 020 Physicians 573 Anesthesiology; Critical Care Medicine
1013343284 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013347186 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013354018 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013354018 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013356781 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013357573 207RE0101X 020 Physicians 168 Endocrinology Diabetes & Metabolism
1013360197 207Q00000X 020 Physicians 173 Family Medicine
1013361161 207RP1001X 020 Physicians 029 Pulmonary Diseases
1013370352 207P00000X 020 Physicians 270 Emergency Medicine
1013375500 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013395706 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
8 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1013395839 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013398445 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013399112 207Q00000X 020 Physicians 173 Family Medicine
1013399112 207P00000X 020 Physicians 270 Emergency Medicine
1013402429 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1013413756 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013438936 2084P0800X 020 Physicians 121 Psychiatry
1013454818 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013462183 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013482090 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013483692 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013486166 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1013486166 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1013495324 363AS0400X 036 Phys Assts and Advanced Nursing Provs 519 Physician Assistant; Surgical
1013503531 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013503531 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1013503531 376J00000X 048 Qualified Service Provider 180 Homemaker
1013503531 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013503531 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1013503531 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013503531 372600000X 048 Qualified Service Provider 637 Companionship
1013503531 372600000X 048 Qualified Service Provider 513 Supervision
1013503531 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1013503911 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1013504372 376J00000X 048 Qualified Service Provider 180 Homemaker
1013504372 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013504463 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013504844 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013504844 376J00000X 048 Qualified Service Provider 180 Homemaker
1013504844 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1013504844 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1013504844 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
9 11/10/2021
NPI Taxonomy Provider
1013504844 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013510262 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013513670 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013513670 376J00000X 048 Qualified Service Provider 180 Homemaker
1013513993 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013513993 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013513993 376J00000X 048 Qualified Service Provider 180 Homemaker
1013515899 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013515899 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1013515899 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013515972 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013515972 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013517663 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013533520 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013542182 103TC2200X 010 Behav Health & Social Svc Prov 523 Clinical Child & Adolescent
1013557669 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013564624 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1013573682 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013576883 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1013579424 207Q00000X 020 Physicians 173 Family Medicine
1013585207 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1013587476 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1013591213 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013591213 3747P1801X 048 Qualified Service Provider 081 Respite Care
1013591213 376J00000X 048 Qualified Service Provider 180 Homemaker
1013595487 376J00000X 048 Qualified Service Provider 180 Homemaker
1013595487 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013595487 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013689017 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1013689017 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1013689017 376J00000X 048 Qualified Service Provider 180 Homemaker
1013900505 208M00000X 020 Physicians 344 Hospitalist
10 11/10/2021
NPI Taxonomy Provider
1013919638 111N00000X 011 Chiropractic Providers 047 Chiropractor
1013929371 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1013929371 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1013930833 364SP0807X 036 Phys Assts and Advanced Nursing Provs 629 Clinical Nurse Specialist Child&Adol
1013934017 207R00000X 020 Physicians 011 Internal Medicine
1013934017 208M00000X 020 Physicians 344 Hospitalist
1013934652 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1013934652 101YP2500X 010 Behav Health & Social Svc Prov 194 Counselor Professional
1013934785 207Q00000X 020 Physicians 173 Family Medicine
1013934793 363LX0001X 036 Phys Assts and Advanced Nursing Provs 434 Nurse Practitioner OB/GYN
1013934793 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1013934975 207Q00000X 020 Physicians 173 Family Medicine
1013934975 207P00000X 020 Physicians 270 Emergency Medicine
1013935600 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013935667 207R00000X 020 Physicians 011 Internal Medicine
1013935667 207RH0003X 020 Physicians 179 Hematology/Oncology
1013935717 207RI0200X 020 Physicians 185 Infectious Diseases
1013935782 207Q00000X 020 Physicians 173 Family Medicine
1013938232 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1013938752 207RH0000X 020 Physicians 178 Hematology
1013938752 207RH0003X 020 Physicians 179 Hematology/Oncology
1013939693 207X00000X 020 Physicians 020 Orthopedic Surgery
1013948116 207RC0200X 020 Physicians 206 Critical Care Medicine
1013948116 208VP0000X 020 Physicians 219 Otolaryngology; Pain Medicine
1013948116 208VP0014X 020 Physicians 524 Internventional Pain Medicine
1013948116 207L00000X 020 Physicians 005 Anesthesiology
1013955848 207RG0100X 020 Physicians 010 Gastroenterology
1013957646 207L00000X 020 Physicians 005 Anesthesiology
1013958883 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013968981 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1013970482 207RG0100X 020 Physicians 010 Gastroenterology
11 11/10/2021
NPI Taxonomy Provider
1013981927 208000000X 020 Physicians 049 Pediatrics
1013982172 207P00000X 020 Physicians 270 Emergency Medicine
1013984012 207RC0000X 020 Physicians 006 Cardiovascular Disease
1013985001 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013989359 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1013990555 207P00000X 020 Physicians 270 Emergency Medicine
1013990555 207PE0004X 020 Physicians 093 Emergency Medical Services
1013994730 2080P0206X 020 Physicians 227 Pediatric Gastroenterology
1013994730 208000000X 020 Physicians 049 Pediatrics
1013995356 207RI0200X 020 Physicians 185 Infectious Diseases
1013996008 208M00000X 020 Physicians 344 Hospitalist
1013996008 207Q00000X 020 Physicians 173 Family Medicine
1013996008 207P00000X 020 Physicians 270 Emergency Medicine
1013996065 2085R0202X 020 Physicians 167 Diagnostic Radiology
1013999572 208100000X 020 Physicians 025 Physical Medicine and Rehab
1023024213 207V00000X 020 Physicians 016 OB/GYN
1023030517 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023030517 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023030665 207Q00000X 020 Physicians 173 Family Medicine
1023034329 2080N0001X 020 Physicians 502 Neonatal-Perinatal Medicine
1023035029 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023035029 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1023036753 207P00000X 020 Physicians 270 Emergency Medicine
1023036753 207R00000X 020 Physicians 011 Internal Medicine
1023039245 2084N0400X 020 Physicians 013 Neurology
1023039369 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023049566 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023051810 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023051810 207ZP0105X 020 Physicians 136 Clinical Pathology/Laboratory Medicine
1023054210 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1023057429 207Q00000X 020 Physicians 173 Family Medicine
12 11/10/2021
NPI Taxonomy Provider
1023065182 207L00000X 020 Physicians 005 Anesthesiology
1023068137 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023075975 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1023075975 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023080751 2080P0206X 020 Physicians 227 Pediatric Gastroenterology
1023083169 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023083169 207ZP0101X 020 Physicians 022 Pathology
1023085677 207L00000X 020 Physicians 005 Anesthesiology
1023089414 207RC0000X 020 Physicians 006 Cardiovascular Disease
1023092491 207L00000X 020 Physicians 005 Anesthesiology
1023093770 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023094539 208000000X 020 Physicians 049 Pediatrics
1023094539 2080P0006X 020 Physicians 223 Pediatric Developmental & Beha
1023094737 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023094810 207L00000X 020 Physicians 005 Anesthesiology
1023095486 207T00000X 020 Physicians 014 Neurological Surgery
1023096880 207Q00000X 020 Physicians 173 Family Medicine
1023097078 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023097565 208600000X 020 Physicians 275 Surgery
1023097755 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023098316 207L00000X 020 Physicians 005 Anesthesiology
1023098316 207RC0200X 020 Physicians 206 Critical Care Medicine
1023098332 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023098837 207V00000X 020 Physicians 016 OB/GYN
1023099488 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023102118 207Y00000X 020 Physicians 217 Otolaryngology
1023105020 207Y00000X 020 Physicians 217 Otolaryngology
1023109139 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023109253 207V00000X 020 Physicians 016 OB/GYN
1023115805 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
13 11/10/2021
NPI Taxonomy Provider
1023116373 207P00000X 020 Physicians 270 Emergency Medicine
1023149655 111N00000X 011 Chiropractic Providers 047 Chiropractor
1023153921 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1023154879 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023161585 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023164845 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023182110 207Q00000X 020 Physicians 173 Family Medicine
1023191590 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1023192143 111N00000X 011 Chiropractic Providers 047 Chiropractor
1023193646 207V00000X 020 Physicians 016 OB/GYN
1023211695 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023227162 2084N0400X 020 Physicians 013 Neurology
1023234135 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023242567 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023244977 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1023246824 208M00000X 020 Physicians 344 Hospitalist
1023246915 208600000X 020 Physicians 275 Surgery
1023254398 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1023258472 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023268711 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023271020 1223P0221X 012 Dental Providers 063 Pedodontics
1023273273 208M00000X 020 Physicians 344 Hospitalist
1023283066 207P00000X 020 Physicians 270 Emergency Medicine
1023284288 207R00000X 020 Physicians 011 Internal Medicine
1023295300 207RG0100X 020 Physicians 010 Gastroenterology
1023300688 207Q00000X 020 Physicians 173 Family Medicine
1023303112 2080P0204X 020 Physicians 561 Pediatric Emergency Medicine; Pediatrics
1023303112 208000000X 020 Physicians 049 Pediatrics
1023303112 207P00000X 020 Physicians 270 Emergency Medicine
1023303112 207PP0204X 020 Physicians 225 Pediatric Emergency Medicine
1023303625 208M00000X 020 Physicians 344 Hospitalist
1023308632 2080P0202X 020 Physicians 221 Pediatric Cardiology
14 11/10/2021
NPI Taxonomy Provider
1023308665 207P00000X 020 Physicians 270 Emergency Medicine
1023316874 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1023316874 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1023316874 101Y00000X 010 Behav Health & Social Svc Prov 152 Counselor
1023320314 208600000X 020 Physicians 275 Surgery
1023329513 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023338282 2085R0202X 020 Physicians 167 Diagnostic Radiology
1023347796 111N00000X 011 Chiropractic Providers 047 Chiropractor
1023351061 207RG0100X 020 Physicians 010 Gastroenterology
1023363108 1223G0001X 012 Dental Providers 001 General Practice
1023363108 122300000X 012 Dental Providers 019 Dentists
1023363587 213ES0103X 021 Podiatric Medicine & Surgery Service 541 Surgery Foot & Ankle
1023370061 2084P0800X 020 Physicians 121 Psychiatry
1023370780 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023371374 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023374352 207R00000X 020 Physicians 011 Internal Medicine
1023374964 207W00000X 020 Physicians 018 Ophthalmology
1023378726 207VM0101X 020 Physicians 404 Maternal & Fetal Medicine
1023390663 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023397221 208M00000X 020 Physicians 344 Hospitalist
1023398898 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023400140 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1023400355 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023406121 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1023412228 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1023412228 363LN0005X 036 Phys Assts and Advanced Nursing Provs 466 Nurse Practitioner- Neonatal-Critcl Care
1023422763 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1023422805 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1023422805 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023422805 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023440617 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1023440617 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
15 11/10/2021
NPI Taxonomy Provider
1023451689 207P00000X 020 Physicians 270 Emergency Medicine
1023455029 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023455029 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023461100 208000000X 020 Physicians 049 Pediatrics
1023469715 207V00000X 020 Physicians 016 OB/GYN
1023473725 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1023474178 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023491909 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023491909 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023494382 208M00000X 020 Physicians 344 Hospitalist
1023497112 207RP1001X 020 Physicians 029 Pulmonary Diseases
1023502069 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1023504073 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023511664 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023522489 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1023522489 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1023522489 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1023522976 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1023524451 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023524964 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023538451 122300000X 012 Dental Providers 019 Dentists
1023540804 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1023546249 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023550951 103TC0700X 010 Behav Health & Social Svc Prov 543 Psychologist Clinical
1023553492 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023553849 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1023555174 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023560448 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023564887 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1023568516 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023572625 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1023572625 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
16 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1023580453 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023583101 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023584919 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1023585833 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1023590643 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023605409 376J00000X 048 Qualified Service Provider 180 Homemaker
1023605409 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1023605409 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1023605409 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1023605409 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023609781 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023609781 376J00000X 048 Qualified Service Provider 180 Homemaker
1023609781 3747P1801X 048 Qualified Service Provider 081 Respite Care
1023609781 385H00000X 048 Qualified Service Provider 081 Respite Care
1023610474 376J00000X 048 Qualified Service Provider 180 Homemaker
1023610474 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023610474 3747P1801X 048 Qualified Service Provider 081 Respite Care
1023613957 163WC1500X 048 Qualified Service Provider 655 Extended Personal Care-Nurse
1023613957 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023613957 376J00000X 048 Qualified Service Provider 180 Homemaker
1023613957 163WC1500X 048 Qualified Service Provider 396 Nurse Education Care
1023613957 3747A0650X 048 Qualified Service Provider 394 Extended Personal Care
1023617032 376J00000X 048 Qualified Service Provider 180 Homemaker
1023617032 3747P1801X 048 Qualified Service Provider 081 Respite Care
1023617032 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023617032 372600000X 048 Qualified Service Provider 513 Supervision
1023617115 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023617115 376J00000X 048 Qualified Service Provider 180 Homemaker
1023617669 376J00000X 048 Qualified Service Provider 180 Homemaker
1023617669 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023617669 372600000X 048 Qualified Service Provider 513 Supervision
1023617669 3747P1801X 048 Qualified Service Provider 081 Respite Care
17 11/10/2021
NPI Taxonomy Provider
1023617669 3747P1801X 048 Qualified Service Provider 318 Adult Family Foster Care
1023617669 372500000X 048 Qualified Service Provider 309 Chore-Labor
1023626462 207Q00000X 020 Physicians 173 Family Medicine
1023626595 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1023633096 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023633443 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1023648557 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023649860 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1023654787 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1023654845 367A00000X 036 Phys Assts and Advanced Nursing Provs 485 Advanced Practice Midwife
1023659687 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1023663598 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1023683323 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1023683323 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1023683323 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1023683794 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1023685542 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033100045 207RC0001X 020 Physicians 084 Clinical Cardiac Electophysiology
1033104120 207L00000X 020 Physicians 005 Anesthesiology
1033111315 207RI0011X 020 Physicians 188 Interventional Cardiology
1033113519 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033123351 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033129598 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033130216 207T00000X 020 Physicians 014 Neurological Surgery
1033130372 208000000X 020 Physicians 049 Pediatrics
1033131628 207R00000X 020 Physicians 011 Internal Medicine
1033134374 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1033136031 207PE0004X 020 Physicians 093 Emergency Medical Services
1033136031 207P00000X 020 Physicians 270 Emergency Medicine
1033136676 204F00000X 020 Physicians 279 Transplant Surgery
1033136999 207Q00000X 020 Physicians 173 Family Medicine
1033137070 122300000X 012 Dental Providers 019 Dentists
18 11/10/2021
NPI Taxonomy Provider
1033137682 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033139324 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033141353 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033144597 208800000X 020 Physicians 034 Urology
1033146188 2080P0210X 020 Physicians 232 Pediatric Nephrology
1033146543 208G00000X 020 Physicians 033 Thoracic Surgery
1033147210 2084P0800X 020 Physicians 121 Psychiatry
1033148853 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1033148853 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033149364 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1033149364 207ZP0101X 020 Physicians 022 Pathology
1033150024 207Q00000X 020 Physicians 173 Family Medicine
1033154760 207X00000X 020 Physicians 020 Orthopedic Surgery
1033167416 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033174370 207ZH0000X 020 Physicians 560 Hematology; Pathology
1033178231 2084N0400X 020 Physicians 013 Neurology
1033181953 207L00000X 020 Physicians 005 Anesthesiology
1033183520 207RC0000X 020 Physicians 006 Cardiovascular Disease
1033191200 208600000X 020 Physicians 275 Surgery
1033192679 207RC0200X 020 Physicians 206 Critical Care Medicine
1033193909 2080P0006X 020 Physicians 223 Pediatric Developmental & Beha
1033195029 207X00000X 020 Physicians 020 Orthopedic Surgery
1033196944 207L00000X 020 Physicians 005 Anesthesiology
1033196944 208VP0000X 020 Physicians 219 Otolaryngology; Pain Medicine
1033197744 208600000X 020 Physicians 275 Surgery
1033197744 204F00000X 020 Physicians 279 Transplant Surgery
1033198163 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033198684 207L00000X 020 Physicians 005 Anesthesiology
1033199807 207R00000X 020 Physicians 011 Internal Medicine
1033200837 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033206495 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1033210570 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
19 11/10/2021
NPI Taxonomy Provider
1033216817 208600000X 020 Physicians 275 Surgery
1033217955 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1033223094 122300000X 012 Dental Providers 019 Dentists
1033229521 122300000X 012 Dental Providers 019 Dentists
1033230701 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033232608 207RG0100X 020 Physicians 010 Gastroenterology
1033243605 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033258520 2080P0214X 020 Physicians 240 Pediatric Pulmonology
1033260146 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033262506 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033274394 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033274816 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1033283379 2084N0400X 020 Physicians 013 Neurology
1033288154 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033294392 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033302062 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1033302286 2080H0002X 020 Physicians 542 Pediatric Hospice & Palliative Medicine
1033305024 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033309638 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033311089 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033311139 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033315718 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033317854 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033348545 207P00000X 020 Physicians 270 Emergency Medicine
1033352307 208VP0014X 020 Physicians 524 Internventional Pain Medicine
1033363627 208000000X 020 Physicians 049 Pediatrics
1033364013 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033364013 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1033369608 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033374954 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033379151 2085R0202X 020 Physicians 167 Diagnostic Radiology
20 11/10/2021
NPI Taxonomy Provider
1033383930 3747P1801X 048 Qualified Service Provider 081 Respite Care
1033395017 207P00000X 020 Physicians 270 Emergency Medicine
1033397294 207L00000X 020 Physicians 005 Anesthesiology
1033398458 1223G0001X 012 Dental Providers 001 General Practice
1033400031 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033404108 207Q00000X 020 Physicians 173 Family Medicine
1033404546 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033417571 2085R0202X 020 Physicians 167 Diagnostic Radiology
1033419585 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1033420377 231H00000X 023 Speech Language and Hearing Svc Prov 087 Audiologist
1033421698 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033430780 207R00000X 020 Physicians 011 Internal Medicine
1033442678 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033442744 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033454319 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033456033 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033476569 207T00000X 020 Physicians 014 Neurological Surgery
1033477021 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1033477021 101YP2500X 010 Behav Health & Social Svc Prov 194 Counselor Professional
1033477021 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1033485842 207L00000X 020 Physicians 005 Anesthesiology
1033491576 208000000X 020 Physicians 049 Pediatrics
1033501697 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033506308 207R00000X 020 Physicians 011 Internal Medicine
1033515788 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033521901 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033523907 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033525365 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1033525860 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033528740 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033534631 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
21 11/10/2021
NPI Taxonomy Provider
1033537105 208000000X 020 Physicians 049 Pediatrics
1033537295 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1033538194 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1033538822 207V00000X 020 Physicians 016 OB/GYN
1033539598 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033539937 2084P0804X 020 Physicians 142 Psychiatry; Child/Adolescent
1033541065 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1033541610 207RN0300X 020 Physicians 105 Nephrology
1033544382 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033551114 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033551569 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033553409 208800000X 020 Physicians 034 Urology
1033554316 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1033555370 2080P0204X 020 Physicians 561 Pediatric Emergency Medicine; Pediatrics
1033556295 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033558523 207V00000X 020 Physicians 016 OB/GYN
1033559620 207RP1001X 020 Physicians 029 Pulmonary Diseases
1033559620 207R00000X 020 Physicians 011 Internal Medicine
1033565601 207R00000X 020 Physicians 011 Internal Medicine
1033572698 207W00000X 020 Physicians 018 Ophthalmology
1033585401 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033591250 207L00000X 020 Physicians 005 Anesthesiology
1033591961 207P00000X 020 Physicians 270 Emergency Medicine
1033593025 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033598214 207RG0300X 020 Physicians 587 Internal Medicine; Geriatric Medicine
1033598214 208M00000X 020 Physicians 344 Hospitalist
1033598214 207R00000X 020 Physicians 011 Internal Medicine
1033600903 164W00000X 016 Nursing Service Providers 130 Licensed Practical Nurse
1033600903 163W00000X 016 Nursing Service Providers 129 Registered Nurse
1033602644 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1033603683 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
22 11/10/2021
NPI Taxonomy Provider
1033609698 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033622568 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033624127 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033627039 363LG0600X 036 Phys Assts and Advanced Nursing Provs 551 Nurse Practitioner Gerontology
1033630231 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033631296 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1033631296 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1033631296 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033631296 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1033639687 208600000X 020 Physicians 275 Surgery
1033641501 207P00000X 020 Physicians 270 Emergency Medicine
1033655907 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033657556 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033661509 111N00000X 011 Chiropractic Providers 047 Chiropractor
1033664487 208M00000X 020 Physicians 344 Hospitalist
1033665310 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033665963 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033675574 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033676010 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033680517 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1033680517 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033680517 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033687652 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033690458 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033706593 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033706882 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033711544 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1033711635 376J00000X 048 Qualified Service Provider 180 Homemaker
1033711635 3747P1801X 048 Qualified Service Provider 081 Respite Care
1033711635 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1033712450 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1033712682 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
23 11/10/2021
NPI Taxonomy Provider
1033712682 3747P1801X 048 Qualified Service Provider 081 Respite Care
1033728357 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1033736376 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033739925 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1033743133 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1033743133 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1033743133 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1033749924 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1033750732 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033752530 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1033765995 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033770201 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1033771639 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1033772157 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1033775747 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1033779509 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1033785746 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1033787338 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1033787338 372600000X 048 Qualified Service Provider 513 Supervision
1033787338 376J00000X 048 Qualified Service Provider 180 Homemaker
1033787338 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1033790860 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1033793518 376J00000X 048 Qualified Service Provider 180 Homemaker
1033793518 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1033883962 376J00000X 048 Qualified Service Provider 180 Homemaker
1033883962 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043210461 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043216799 207V00000X 020 Physicians 016 OB/GYN
1043221880 111N00000X 011 Chiropractic Providers 047 Chiropractor
1043224348 207Q00000X 020 Physicians 173 Family Medicine
1043226939 207L00000X 020 Physicians 005 Anesthesiology
1043227630 207T00000X 020 Physicians 014 Neurological Surgery
24 11/10/2021
NPI Taxonomy Provider
1043228745 204F00000X 020 Physicians 279 Transplant Surgery
1043231269 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043231384 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1043237035 207RI0200X 020 Physicians 185 Infectious Diseases
1043237522 207Q00000X 020 Physicians 173 Family Medicine
1043240658 207V00000X 020 Physicians 016 OB/GYN
1043240914 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043242290 207Q00000X 020 Physicians 173 Family Medicine
1043243041 208000000X 020 Physicians 049 Pediatrics
1043243314 207L00000X 020 Physicians 005 Anesthesiology
1043255755 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043262629 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043262694 2084P0800X 020 Physicians 121 Psychiatry
1043264567 207L00000X 020 Physicians 005 Anesthesiology
1043266224 207L00000X 020 Physicians 005 Anesthesiology
1043280027 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043280332 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1043280530 207X00000X 020 Physicians 020 Orthopedic Surgery
1043281397 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043282064 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043282296 2080P0205X 020 Physicians 226 Pediatric Endocrinology
1043283203 207V00000X 020 Physicians 016 OB/GYN
1043287311 2085P0229X 020 Physicians 241 Pediatric Radiology
1043297633 207N00000X 020 Physicians 007 Dermatology
1043298169 207L00000X 020 Physicians 005 Anesthesiology
1043298227 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043298540 207T00000X 020 Physicians 014 Neurological Surgery
1043302474 207Q00000X 020 Physicians 173 Family Medicine
1043307697 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1043308372 207W00000X 020 Physicians 018 Ophthalmology
1043309065 207Q00000X 020 Physicians 173 Family Medicine
1043310188 2085R0202X 020 Physicians 167 Diagnostic Radiology
25 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043316524 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1043318264 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043321987 207RG0100X 020 Physicians 010 Gastroenterology
1043345887 208000000X 020 Physicians 049 Pediatrics
1043351810 207ZP0101X 020 Physicians 022 Pathology
1043351810 207ZP0101X 020 Physicians 436 Anatomic Pathology
1043351810 207ZP0102X 020 Physicians 259 Anatomic / Clinical Pathology
1043356405 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043378912 207V00000X 020 Physicians 016 OB/GYN
1043382773 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043404585 208M00000X 020 Physicians 344 Hospitalist
1043420722 207RG0100X 020 Physicians 010 Gastroenterology
1043426034 207RH0003X 020 Physicians 179 Hematology/Oncology
1043429087 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
1043430010 207RC0200X 020 Physicians 206 Critical Care Medicine
1043430572 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043430796 1223G0001X 012 Dental Providers 001 General Practice
1043439334 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1043441363 1223X0400X 012 Dental Providers 064 Orthodontics
1043447915 207N00000X 020 Physicians 007 Dermatology
1043453772 207V00000X 020 Physicians 016 OB/GYN
1043461536 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043462831 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1043465644 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1043467152 122300000X 012 Dental Providers 019 Dentists
1043470776 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043473382 207RC0001X 020 Physicians 084 Clinical Cardiac Electophysiology
1043474729 122300000X 012 Dental Providers 019 Dentists
1043476732 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043484710 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1043485634 2084P0800X 020 Physicians 121 Psychiatry
1043489925 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
26 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043501190 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1043501190 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1043501190 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043505654 208600000X 020 Physicians 275 Surgery
1043507007 208000000X 020 Physicians 049 Pediatrics
1043508526 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043519713 2084N0402X 020 Physicians 522 Neurology with Spec Qual in Child Neuro
1043519796 207Q00000X 020 Physicians 173 Family Medicine
1043521636 208G00000X 020 Physicians 033 Thoracic Surgery
1043521636 207RP1001X 020 Physicians 029 Pulmonary Diseases
1043521636 208600000X 020 Physicians 275 Surgery
1043521685 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1043521685 208600000X 020 Physicians 275 Surgery
1043524465 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043531023 207P00000X 020 Physicians 270 Emergency Medicine
1043539422 207XP3100X 020 Physicians 237 Pediatric Orthopedics
1043548548 207RC0000X 020 Physicians 006 Cardiovascular Disease
1043551773 367A00000X 036 Phys Assts and Advanced Nursing Provs 485 Advanced Practice Midwife
1043552672 207L00000X 020 Physicians 005 Anesthesiology
1043561673 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043565765 2085R0202X 020 Physicians 167 Diagnostic Radiology
1043566169 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043566607 208M00000X 020 Physicians 344 Hospitalist
1043566730 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043568611 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1043574460 213ES0103X 021 Podiatric Medicine & Surgery Service 541 Surgery Foot & Ankle
1043574460 213E00000X 021 Podiatric Medicine & Surgery Service 120 Podiatrist
1043576853 208000000X 020 Physicians 049 Pediatrics
1043577729 208C00000X 020 Physicians 101 Colon and Rectal Surgery
1043577729 208600000X 020 Physicians 275 Surgery
1043599277 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1043599277 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
27 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043601883 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043604093 207L00000X 020 Physicians 005 Anesthesiology
1043604093 207RC0200X 020 Physicians 206 Critical Care Medicine
1043604218 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1043612609 363AM0700X 036 Phys Assts and Advanced Nursing Provs 518 Physician Assistant;Medical
1043632185 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043634496 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1043650302 207R00000X 020 Physicians 011 Internal Medicine
1043650302 208M00000X 020 Physicians 344 Hospitalist
1043658560 101YP2500X 010 Behav Health & Social Svc Prov 194 Counselor Professional
1043658560 101YP2500X 010 Behav Health & Social Svc Prov 177 Counselor Lic Associate Prof
1043659709 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1043660954 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1043661044 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043661978 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043666274 207N00000X 020 Physicians 007 Dermatology
1043666530 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1043668817 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043669310 122300000X 012 Dental Providers 019 Dentists
1043675705 111N00000X 011 Chiropractic Providers 047 Chiropractor
1043676414 207QS0010X 020 Physicians 273 Sports Medicine
1043690704 207V00000X 020 Physicians 016 OB/GYN
1043693849 207Q00000X 020 Physicians 173 Family Medicine
1043696420 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043696727 2084P0800X 020 Physicians 121 Psychiatry
1043698020 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1043699259 208M00000X 020 Physicians 344 Hospitalist
1043702145 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1043706567 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1043707250 163WD0400X 016 Nursing Service Providers 582 Registered Nurse; Diabetes Educator
1043709124 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1043716327 208800000X 020 Physicians 034 Urology
28 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1043719735 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1043743784 363LN0000X 036 Phys Assts and Advanced Nursing Provs 531 Nurse Practitioner; Neonatal
1043745573 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043745763 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
1043745763 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1043745763 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1043746183 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1043746183 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1043759913 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043763220 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1043783574 101YP2500X 010 Behav Health & Social Svc Prov 190 Counselor Licensed Prof Clinical
1043783996 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1043787815 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1043792476 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1043802945 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043803034 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1043807415 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043807431 171M00000X 049 1915i State Plan Amendment Services 643 Pre-Vocational
1043807431 171M00000X 049 1915i State Plan Amendment Services 644 Education
1043807431 172A00000X 049 1915i State Plan Amendment Services 387 Private Vehicle
1043807431 171M00000X 049 1915i State Plan Amendment Services 641 Care Coordination
1043807431 171M00000X 049 1915i State Plan Amendment Services 650 Housing Supports
1043807431 171M00000X 049 1915i State Plan Amendment Services 642 Supported Employment
1043807431 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043809445 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043809445 376J00000X 048 Qualified Service Provider 180 Homemaker
1043809445 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1043818982 376J00000X 048 Qualified Service Provider 180 Homemaker
1043818982 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819444 376J00000X 048 Qualified Service Provider 180 Homemaker
1043819444 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1043819444 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
29 11/10/2021
NPI Taxonomy Provider
1043819444 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819444 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1043819444 347C00000X 048 Qualified Service Provider 325 Non-Med Transp (O-O-Town)
1043819568 3747P1801X 048 Qualified Service Provider 251 Personal Care-Daily Rate
1043819568 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819709 376J00000X 048 Qualified Service Provider 180 Homemaker
1043819709 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043819709 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043819709 372600000X 048 Qualified Service Provider 513 Supervision
1043819709 3747P1801X 048 Qualified Service Provider 081 Respite Care
1043821739 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1043824501 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1043874316 106S00000X 010 Behav Health & Social Svc Prov 568 Behavior Technician
1043874316 103K00000X 010 Behav Health & Social Svc Prov 567 Behavior Analyst
1043881634 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1043890080 171M00000X 049 1915i State Plan Amendment Services 650 Housing Supports
1043890080 171M00000X 049 1915i State Plan Amendment Services 641 Care Coordination
1043890080 347C00000X 049 1915i State Plan Amendment Services 387 Private Vehicle
1043890080 171M00000X 049 1915i State Plan Amendment Services 648 Benefits Planning
1043890619 376J00000X 048 Qualified Service Provider 180 Homemaker
1043890619 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043890619 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043897176 171M00000X 049 1915i State Plan Amendment Services 086 Respite Care
1043899743 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1043899743 163WC1500X 048 Qualified Service Provider 655 Extended Personal Care-Nurse
1043899743 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043899743 376J00000X 048 Qualified Service Provider 180 Homemaker
1043899743 163WC1500X 048 Qualified Service Provider 396 Nurse Education Care
1043985559 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1043985559 376J00000X 048 Qualified Service Provider 180 Homemaker
1053073833 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
30 11/10/2021
NPI Taxonomy Provider
1053084145 3747P1801X 048 Qualified Service Provider 399 Personal Care-Unit Rate
1053084145 372600000X 048 Qualified Service Provider 637 Companionship
1053084145 376J00000X 048 Qualified Service Provider 180 Homemaker
1053084145 347C00000X 048 Qualified Service Provider 327 Non-Med Transp (Escort)
1053084145 385H00000X 048 Qualified Service Provider 081 Respite Care
1053084145 3747P1801X 048 Qualified Service Provider 081 Respite Care
1053084145 347C00000X 048 Qualified Service Provider 326 Non-Med Transp (local-round trip)
1053307025 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1053307025 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053310243 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1053324418 207Q00000X 020 Physicians 173 Family Medicine
1053327882 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053348755 207X00000X 020 Physicians 020 Orthopedic Surgery
1053349860 207RC0000X 020 Physicians 006 Cardiovascular Disease
1053349860 207RI0011X 020 Physicians 188 Interventional Cardiology
1053354662 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053355198 207P00000X 020 Physicians 270 Emergency Medicine
1053358325 207L00000X 020 Physicians 005 Anesthesiology
1053358655 207K00000X 020 Physicians 003 Allergy & Immunology
1053358655 2080P0201X 020 Physicians 108 Pediatric Allergy
1053358655 208000000X 020 Physicians 049 Pediatrics
1053365122 207Q00000X 020 Physicians 173 Family Medicine
1053376780 2085R0202X 020 Physicians 167 Diagnostic Radiology
1053379230 207Q00000X 020 Physicians 173 Family Medicine
1053381798 207Q00000X 020 Physicians 173 Family Medicine
1053385278 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053385468 1223X0400X 012 Dental Providers 064 Orthodontics
1053388777 207RG0100X 020 Physicians 010 Gastroenterology
1053388934 207RC0000X 020 Physicians 006 Cardiovascular Disease
1053389130 207RP1001X 020 Physicians 029 Pulmonary Diseases
1053389130 207RC0200X 020 Physicians 206 Critical Care Medicine
31 11/10/2021
NPI Taxonomy Provider
1053398347 208600000X 020 Physicians 275 Surgery
1053398347 204F00000X 020 Physicians 279 Transplant Surgery
1053398909 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053399246 207RH0000X 020 Physicians 178 Hematology
1053403485 207Q00000X 020 Physicians 173 Family Medicine
1053404756 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1053404806 152W00000X 015 Eye and Vision Service Providers 088 Optometrist
1053409086 2085R0204X 020 Physicians 189 Vascular and Interventional Radiology
1053413708 2085R0202X 020 Physicians 167 Diagnostic Radiology
1053417493 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1053417840 208600000X 020 Physicians 275 Surgery
1053418400 122300000X 012 Dental Providers 019 Dentists
1053419903 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053423525 2085R0202X 020 Physicians 167 Diagnostic Radiology
1053425603 2084N0402X 020 Physicians 522 Neurology with Spec Qual in Child Neuro
1053465641 207NP0225X 020 Physicians 222 Pediatric Dermatology
1053468223 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1053474411 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053474411 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053474882 122300000X 012 Dental Providers 019 Dentists
1053493494 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053497198 207RH0003X 020 Physicians 179 Hematology/Oncology
1053498824 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053499426 208M00000X 020 Physicians 344 Hospitalist
1053499426 207R00000X 020 Physicians 011 Internal Medicine
1053509273 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053509273 363LP2300X 036 Phys Assts and Advanced Nursing Provs 469 Nurse Practitioner- Primary Care
1053510982 1223G0001X 012 Dental Providers 001 General Practice
1053510982 122300000X 012 Dental Providers 019 Dentists
1053514844 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
1053520643 1223G0001X 012 Dental Providers 001 General Practice
32 11/10/2021
NPI Taxonomy Provider
1053530345 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1053541292 2084N0400X 020 Physicians 013 Neurology
1053542357 208000000X 020 Physicians 049 Pediatrics
1053542357 2080P0206X 020 Physicians 227 Pediatric Gastroenterology
1053546937 207QG0300X 020 Physicians 586 Family Medicine; Geriatric Medicine
1053546937 207QH0002X 020 Physicians 590 Family Medicine; Hospice & Palliative Me
1053546937 207RH0002X 020 Physicians 591 Internal Medicine; Hospice & Palliative
1053546937 207R00000X 020 Physicians 011 Internal Medicine
1053548107 363L00000X 036 Phys Assts and Advanced Nursing Provs 055 Nurse Practitioner Advanced Practice
1053548107 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053548933 207P00000X 020 Physicians 270 Emergency Medicine
1053550228 2085R0001X 020 Physicians 497 Oncology Radiation - Physician
1053553768 2080P0207X 020 Physicians 228 Pediatric Hematology-Oncology
1053555797 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053558247 363LP2300X 036 Phys Assts and Advanced Nursing Provs 469 Nurse Practitioner- Primary Care
1053559906 207RN0300X 020 Physicians 105 Nephrology
1053563957 363A00000X 036 Phys Assts and Advanced Nursing Provs 255 Physician Assistant
1053564278 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1053572735 207RC0200X 020 Physicians 206 Critical Care Medicine
1053572735 207RP1001X 020 Physicians 029 Pulmonary Diseases
1053573287 2084N0400X 020 Physicians 013 Neurology
1053575142 208000000X 020 Physicians 049 Pediatrics
1053575803 1223P0221X 012 Dental Providers 063 Pedodontics
1053576454 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053578005 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053581876 2080P0203X 020 Physicians 514 Pediatric Critical Care Medicine
1053599407 207RC0000X 020 Physicians 006 Cardiovascular Disease
1053612697 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053615575 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1053620849 363LN0005X 036 Phys Assts and Advanced Nursing Provs 466 Nurse Practitioner- Neonatal-Critcl Care
1053625459 2084N0400X 020 Physicians 013 Neurology
33 11/10/2021
NPI Taxonomy Provider
1053644492 122300000X 012 Dental Providers 019 Dentists
1053644492 1223G0001X 012 Dental Providers 001 General Practice
1053646430 122300000X 012 Dental Providers 019 Dentists
1053648360 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053648915 106H00000X 010 Behav Health & Social Svc Prov 403 Marriage & Family Therapist
1053674762 207P00000X 020 Physicians 270 Emergency Medicine
1053678755 207RP1001X 020 Physicians 029 Pulmonary Diseases
1053685024 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053685719 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053692020 103T00000X 010 Behav Health & Social Svc Prov 050 Psychologist
1053692566 363LP0200X 036 Phys Assts and Advanced Nursing Provs 435 Nurse Practitioner Pediatrics
1053702290 235Z00000X 023 Speech Language and Hearing Svc Prov 272 Speech-Language Pathologist
1053714220 225X00000X 022 Resp Devl Rehab and Restore Srvc Prov 126 Occupational Therapy
1053739458 207R00000X 020 Physicians 011 Internal Medicine
1053751743 207L00000X 020 Physicians 005 Anesthesiology
1053758300 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053763409 207Q00000X 020 Physicians 173 Family Medicine
1053774356 367500000X 036 Phys Assts and Advanced Nursing Provs 341 Certified Registered Nurse Anesthetist
1053775668 208600000X 020 Physicians 275 Surgery
1053780486 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053792838 133V00000X 013 Dietary & Nutritional Service Providers 056 Licensed Registered Dietician
1053797647 183500000X 018 Pharmacy 253 Pharmacist
1053802785 122300000X 012 Dental Providers 019 Dentists
1053803866 225100000X 022 Resp Devl Rehab and Restore Srvc Prov 123 Physical Therapist
1053806836 122300000X 012 Dental Providers 019 Dentists
1053806836 1223G0001X 012 Dental Providers 001 General Practice
1053807917 363LP0808X 036 Phys Assts and Advanced Nursing Provs 467 Nurse Practitioner- Psych/Mental Health
1053808451 207Q00000X 020 Physicians 173 Family Medicine
1053814780 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053814780 104100000X 010 Behav Health & Social Svc Prov 625 Licensed Baccalaureate Social Worker
34 11/10/2021
NPI Taxonomy Provider
Code Specialty Description
1053814780 174400000X 010 Behav Health & Social Svc Prov 488 Behavior Modification Specialist
1053814780 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1053814780 247200000X 010 Behav Health & Social Svc Prov 492 Mental Health Technician
1053821090 101YA0400X 010 Behav Health & Social Svc Prov 155 Counselor Addiction
1053823294 1041C0700X 010 Behav Health & Social Svc Prov 191 Licensed Clinical Social Worker
1053823294 104100000X 010 Behav Health & Social Svc Prov 425 Licensed Master Social Worker
1053825224 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053828202 171M00000X 017 Other Service Providers 335 Case Manager/Care Coordinator
1053831990 207Q00000X 020 Physicians 173 Family Medicine
1053832006 363LF0000X 036 Phys Assts and Advanced Nursing Provs 432 Nurse Practitioner Family
1053843771 207P00000X 020 Phy
