PROVIDER TYPE CODE PROVIDER SPECIALTY CODE …
PROVIDER TYPE CODE
010-Behavioral Health & Social Service Providers
PROVIDER SPECIALTY CODE 074-Clinical Neuropsychologist
152-Counselor 155-Counselor, Addiction 177-Counselor, Licensed Associate
Professional (LAPC) 190-Counselor, Licensed Professional
Clinical (LPCC) 194-Counselor, Professional 403-Marriage & Family Therapist 191-Licensed Independent Clinical Social
Worker (LICSW, LCSW) 050-Psychologist
425-Social Worker (LSW)
TAXONOMY CODE 103G00000X 101Y00000X 101YA0400X
101YP2500X
101YP2500X
101YP2500X 106H00000X
1041C0700X
103T00000X 104100000X
011-Chiropractic Providers
047-Chiropractor
111N00000X
012-Dental Providers
019-Dentists 062-Endodontics 001-General Practice 212-Oral Maxillofacial Surgery 064-Orthodontics
063-Pedodontics (Pediatric Dentistry)
065-Periodontics 066-Prosthodontics
122300000X 1223E0200X 1223G0001X 1223S0112X 1223X0400X
1223P0221X
1223P0300X 1223P0700X
013-Dietary & Nutritional Service Providers
056-Licensed Registered Dietician
015-Eye & Vision Service Providers
411-Optician 088-Optometrist
016-Nursing Service Providers
130-Licensed Practical Nurse 127-Licensed Vocational Nurse
129-Registered Nurse
133V00000X
156FX1800X 152W00000X
164W00000X 164X00000X 163W00000X
017-Other Service Providers
335-Case Manager/Care Coordinator 468-County Social Service Office 339-Lodging
393-Provide Meals
171M00000X 171M00000X no taxonomy code
required no taxonomy code
required
018-Pharmacy Service Providers
253-Pharmacist
183500000X
058-Adult Medicine 003-Allergy & Immunology 436 -Anatomic Pathology
005-Anesthesiology 006-Cardiovascular Disease 078-Clinical & Laboratory Dermatological
Immunology 083-Clinical Biochemical Genetics
084-Clinical Cardiac Electrophysiology
020-Physicians (Allopathic & Osteopathic)
085-Clinical Cytogenetic 405-Clinical Genetics (MD) 118-Clinical Molecular Genetics
021-Clinical Pathology 136 -Clinical Pathology/Laboratory
Medicine 133-Clinical Pharmacology 101-Colon and Rectal Surgery 206-Critical Care Medicine
007-Dermatology 260-Dermatopathology 167-Diagnostic Radiology 270-Emergency Medicine 093-Emergency Medical Services 168-Endocrinology, Diabetes &
Metabolism 301-Facial Plastic Surgery
173-Family Medicine 302-Foot & Ankle Surgery
010-Gastroenterology 001-General Practice 307-Gynecologic Oncology 179-Hematology/Oncology
207QA0505X 207K00000X 207ZP0101X 207L00000X 207RC0000X
207NI0002X
207SG0202X
207RC0001X
207SC0300X 207SG0201X 207SG0203X 207ZC0006X
207ZP0105X
208U00000X 208C00000X 207RC0200X 207N00000X 207ND0900X 2085R0202X 207P00000X 207PE0004X
207RE0101X
207YS0123X 207Q00000X 207XX0004X 207RG0100X 208D00000X 207VX0201X 207RH0003X
340-Hepatology
344-Hospitalist
183-Immunopathology
471-Independent Medical Examiner
185-Infectious Diseases
011-Internal Medicine
188-Interventional Cardiology
375-Legal Medicine
404-Maternal & Fetal Medicine
105-Nephrology
014-Neurological Surgery
013-Neurology
203-Neuropathology
204-Neuroradiology
103-Nuclear Medicine
Nuclear Radiology
211-Obstetrics
016-Obstetrics & Gynecology
018-Ophthalmology
212-Oral Maxillofacial Surgery
214-Orthopedic Hand Surgery
020-Orthopaedic Surgery
020-Physicians (Allopathic
217-Otolarynology
& Osteopathic)
219-Pain Medicine
108-Pediatric Allergy & Immunology
412-Pediatric Anesthesiology
221-Pediatric Cardiology
222-Pediatric Dermatology
223-Pediatric Developmental & Behavioral
Pediatrics
225-Pediatric Emergency Medicine
226-Pediatric Endocrinology
227-Pediatric Gastroenterology
228-Pediatric Hematology-Oncology
229-Pediatric Infectious Disease
231-Pediatric Medical Toxicology
232-Pediatric Nephrology
233-Pediatric Neurodevelopment
Disabilities
237-Pediatric Orthopedics Surgery
140-Pediatric Otolaryngology
238-Pediatric Pathology
240-Pediatric Pulmonology
241-Pediatric Radiology
242-Pediatric Rehab Medicine
243-Pediatric Rheumatology
207RI0008X 208M00000X 207ZI0100X 202C00000X 207RI0200X 207R00000X 207RI0011X 209800000X 207VM0101X 207RN0300X 207T00000X 2084N0400X 207ZN0500X 2085N0700X 207U00000X 2085N0904X 207VX0000X 207V00000X 207W00000X 204E00000X 207XS0106X 207X00000X 207Y00000X 208VP0000X 2080P0201X 207LP3000X 2080P0202X 207NP0225X
2080P0006X
207PP0204X 2080P0205X 2080P0206X 2080P0207X 2080P0208X 2080T0002X 2080P0210X
2080P0008X
207XP3100X 207YP0228X 207ZP0213X 2080P0214X 2085P0229X 2081P0010X 2080P0216X
244-Pediatric Sports Medicine 245-Pediatric Surgery 246-Pediatric Urology 049-Pediatrics 012-Phlebology
025-Physical Medicine & Rehabilitation
024-Plastic Surgery 256-Plastic Surgery Hand Surgery
257-Preventative Medicine/OccupationalEnvironmental Medicine
020-Physicians (Allopathic & Osteopathic)
414-Procedural Dermatology 121-Psychiatry
142-Psychiatry ? Child/Adolescent 029-Pulmonary Diseases Radiation Oncology 267-Rheumatology 275-Surgery 276-Surgical Oncology 278-Therapeutic Radiology 033-Thoracic Surgery 279-Transplant Surgery 034-Urology
189-Vascular and Interventional Radiology
289-Vascular Surgery
2080S0010X 2086S0120X 2088P0231X 208000000X 202K00000X
208100000X
208200000X 2082S0105X
2083P0500X
207NS0135X 2084P0800X 2084P0804X 207RP1001X 2085R001X 207RR0500X 208600000X 2086X0206X 2085R0203X 208G00000X 204F00000X 208800000X
2085R0204X
2086S0129X
021-Podiatric Medicine &Surgery Service Providers
120-Podiatrist
022-Respiratory, Developmental, Rehabilitative & Restorative Service
Providers
126-Occupational Therapy 114-Orthotist
123-Physical Therapist 115-Prosthetist
349-Respiratory Therapist, Certified
430-Respiratory Therapist, Registered
213E00000X
225X00000X 222Z00000X 225100000X 224P00000X 227800000X 227900000X
023-Speech, Language & Hearing Service Providers
087-Audiologist 272-Speech-Language Pathologist
231H00000X 235Z00000X
034-Transportation Services
483-Air Carrier 132-Ambulance
385-Bus 387-Private Vehicle 388-Secured Medical Transport (Van)
389-Taxi 390-Train 484-Transportation Broker
485-Advanced Practice Midwife
341-Certified Registered Nurse Anesthetist
036-Clinical Nurse Specialist 431-Nurse Practitioner; Adult Health
055-Nurse Practitioner;-Advanced Practice
036-Physician Assistants &Advanced Practice Nursing Providers
432-Nurse Practitioner; Family 466 -Nurse Practitioner; Neonatal; Critical
Care 434 -Nurse Practitioner; OB/GYN 435-Nurse Practitioner; Pediatrics 469-Nurse Practitioner; Primary Care 467-Nurse Practitioner; Psychiatric/Mental
Health
470-Nurse Practitioner, Women's Health
255-Physician Assistant
344800000X 341600000X 347B00000X 347C00000X 343800000X 344600000X 347D00000X 347E00000X
367A00000X
367500000X
364S00000X 363LA2200X
363L00000X
363LF0000X
363LN0005X
363LX0001X 363LP0200X 363LP2300X
363LP0808X
363LW0102X
363A00000X
039-Developmental Disabilities
335-Case Manager/Care Coordinator 380-Congregate Care (DD) 374-Day Support (DD) 373-Extended Services (DD)
379-Family Support Services (DD) 377-Ind Supp Lvg Arrangement (DD)
372-Infant Development (DD) 381-Minimally Suprvsd Lvg Arrngmnt (DD) 382-Supported Living Arrangement (DD) 376-Transitional Comm Living Facility (DD)
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
no taxonomy code required
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