CMS NPPES uses NUCC taxonomy code 363LP0808X for provider records classified as Psychiatric/Mental Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services...
TX license #AP139970taxonomy 363LP0808X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.