CMS NPPES uses NUCC taxonomy code 363LF0000X for provider records classified as Family within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
ID license #67384taxonomy 363LF0000X
Nurse Practitioner
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...
ID license #67384taxonomy 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
Largest Medicare group
3 members
Largest listed enrollment group
Facility affiliations reported by CMS
Addi
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
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Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new family (nurse practitioner) providers have been added in Meridian in the last 180 days.
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Provyx · Custom healthcare lists
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