Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A non-facility provider that renders outpatient outreach services that are not provided at a specific location. The licensure or registration is assigned to the agency rather than to the individual practitioners as would be the case in a group practice.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A broad category grouping state licensed providers in allopathic or osteopathic medicine whose scope of practice is determined by education.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A State-licensed facility that is not hospital-based where services are provided at a fixed specific location. An ambulatory care facility does not provide overnight accommodations.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad classification aggregating providers who are trained and educated to perform services related to behavioral health, mental health, and counseling and may be licensed or practice within the scope or licensure or training.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/center" is irregularly defined, either including or excluding physician's offices and allied health professionals, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, public health). Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 185

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad category to identify practitioners who render services related the practice of dentistry. Dentistry is defined as the evaluation, diagnosis, prevention and/or treatment (nonsurgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated structures and their impact on the human body; provided by a dentist, within the scope of his/her education, training and experience, in accordance with the ethics of the profession and applicable law.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. Source: Council on Dental Education and Licensure, American Dental Association

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad category defining practitioners who help prevent and treat illness by promoting healthy eating habits, scientifically evaluating diets and suggesting modifications. They may also assess the nutritional needs of patients, develop and implement nutritional care plans.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor's degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. Source: The American Dietetic Association. Becoming a Registered Dietitian - a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad category for individuals who complete additional training and education in the area of pre-hospital emergency services and are licensed and/or practice within the scope of that training.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad category grouping individuals who renders services related to the human eye and visual systems, but are not an allopathic or osteopathic physicians.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A business entity under which one or more individuals practice. A group does not require multiple professional providers. A single provider group is a valid group and would be identified by the business entity name, for instance - John Doe, PC.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A distinct part of a general acute care hospital. The distinctness of a unit is determined by characteristics such as the following: the unit has admission and discharge records that are separately identified from those of the hospital; the hospital has policies specifying that necessary clinical information is transferred to the unit when a patient of the hospital is transferred to the unit; the hospital's utilization review plan includes separate standards for the type of care offered in the unit; the beds assigned to the unit are physically separate from beds not included in the unit; the unit is treated as a separate cost center for cost reporting, funding and apportionment purposes.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A health care organization that has a governing body, an organized medical staff and professional staff and inpatient facilities and provides medical nursing and related services for ill and injured patients 24 hrs per day, seven days per week. For licensing purposes, each state has its own definition of hospital.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A room or building equipped for scientific experimentation, research, testing, or clinical studies of materials, fluids, or tissues obtained from patients.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A health care facility operated by the Department of Defense.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Context Bindings to concept domain(s):
  HealthcareProviderRoleType in Realm: R1 as CWE
  ProviderCodes in Realm: US as CWE

Description:

In the absence of an all-encompassing Provider Classification System, both X12N and the National Provider System Workgroup from the Centers for Medicare and Medicaid Services (CMS) commenced work on identifying and coding an external provider table that would be able to codify provider type and provider area of specialization for all medical related providers. CMS' intent was to provide a single coding structure to support work on the National Provider System, while X12N needed a single common table for trading partner use. The two projects worked independently to some extent until April 1996 when the lists were coordinated and a single taxonomy was proposed. A sub-group of the X12N TG2 WG 15 was charged with resolving differences in the two proposed taxonomies. Their work resulted in a single taxonomy that both CMS and members of X12N found meaningful, easy to use, and functional for electronic transactions.

The sub-group initially started with the CMS draft taxonomy. This list incorporated all types of providers associated with medical care in various ways. Many of the providers listed, such as technologists or technicians, support or repair equipment/machinery. A number of the providers offer medical services, in concert with others, and do not or cannot bill independently for their portion. The amount of research to validate and classify all providers using the proposed hierarchical structure was enormous. The X12N sub-group focused on medical providers who are licensed practitioners, those who bill for health-related services rendered, and those who appeared on the Medicare CMS Provider Specialty listing. This included providers who were licensed to practice medicine via state licensure agencies. In addition, a very broad definition of "areas of specialization" was used, which included nationally recognized specialties, provider self-designated specialties, areas of practice focus, and any request by any agency or trading partner submitted before the first taxonomy release. This level of detail captured specialty information in categories detailed enough to support those trading credentialing information, yet broad enough to support those wishing to trade directory level specialization information.

In 2001, ANSI ASC X12N asked the NUCC to become the official maintainer of the Health Care Provider Taxonomy List. The NUCC has a formal operating protocol and its membership includes representation from key provider and payer organizations, as well as state and federal agencies, standard development organizations and the National Uniform Billing Committee (NUBC). Criteria for membership includes a national scope and representation of a unique constituency affected by health care electronic commerce, with an emphasis on maintaining a provider/payer balance.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. Source: American Psychological Association, Washington, DC, 1997.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1)A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Source: (1)American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Providers who are trained and educated to perform services in health promotion, disease prevention, acute and chronic care, and restoration of health, and health maintenance across the life span.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Providers who are trained and educated to perform and administer services related to health promotion, disease prevention, acute and chronic care, spiritual guidance and comfort for healing and health, restoration of health and health maintenance across the life span.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad category identifying licensed facilities with inpatient beds specializing in nursing and custodial care.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An occupational therapist is a person qualified by completion of an approved program in occupational therapy, licensed by the state and practicing within the scope of that license, or where licensure does not exist, certified by the American Occupational Therapy Certification Board. An occupational therapist evaluates the self-care, work and leisure performance skills of well and disabled clients and plans and implements programs to restore, develop or maintain the task performance skills necessary for daily living and for the client's particular occupational role.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An optometrist is a person qualified by a Doctor of Optometry (O.D. / degree, licensed by the state and practicing within the scope of that license. Optometrists examine the eyes and related structures to determine the presence of any abnormality and prescribe and adapt lenses or optical aids. They use drugs for diagnosis in all states and for treatment in some states. They do not perform surgery.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Providers not otherwise classified, who perform or administer services in or related to the delivery or research of health care services, disease, and restoration of health. An individual provider who is not represented in one of the identified categories but whose data may be needed for clinical, operational or administrative processes.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual who is licensed to prepare and sell or dispense drugs and compounds and to make up prescriptions. Source: Dorland's Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.. Saunders Company, 1981.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A broad category grouping providers who render services relating to the preparation and dispensing of drugs.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT's assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient's strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A broad grouping of providers who are: 1) trained, educated, and certified to perform basic medical and minor surgical services (or to assist the physician in performance of more complex services) under general physician supervision; and 2) trained, educated at a post-graduate level, and certified to perform autonomous and specialized roles as nurse practitioners, midwives, nurse anesthetists, or clinical nurse specialists.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Broad category grouping licensed providers who renders services related to the human foot.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual who specializes in psychological research, testing, and/or therapy. Psychology is the branch of science that deals with mental processes and behavior, composed of the following major fields: abnormal, clinical, comparative, counseling, developmental, educational, engineering, experimental, industrial, learning, motivation, perception, personality, physiological, psychometrics, school, and social psychology. Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 654.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology. Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Live in facilities where patients or clients, who because of their physical, mental, or emotional condition, are not able to live independently, and who receive treatment appropriate to their particular needs in a less restrictive environment than an inpatient facility. For example, an RTC may provide educational training and therapy for children with emotional disturbances or continuing care and therapy for people with severe mental handicaps.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider who is trained and educated to perform services related to respiratory care, physical therapy, occupational therapy, rehabilitation and restorative services and may be licensed, certified or practice within the scope the scope of training.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A respiratory therapist is a person who has graduated from a respiratory therapy program accredited by the Committee on Allied Health Education and Accreditation, and where applicable, is licensed by the state and is practicing within the scope of that license. A respiratory therapist administers oxygen and other gases and provides assistance with equipment to patients with either acute or chronic breathing difficulties, often within the home.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A respiratory therapist is a person who has graduated from a respiratory therapy program accredited by the Committee on Allied Health Education and Accreditation, and where applicable, is licensed by the state and is practicing within the scope of that license. A respiratory therapist administers oxygen and other gases and provides assistance with equipment to patients with either acute or chronic breathing difficulties, often within the home.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A facility with dorm rooms where individuals who are unable to care for themselves may stay on a short term basis overnight to allow relief to persons normally providing care to them.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A clinical social worker is a person who is qualified by a master of Social Work (M.S.W.) degree, licensed, certified or registered by the state as a social worker and practicing within the scope of that license. A social worker provides assistance and counseling to patients and their families and dealing with social, emotional and environmental problems.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Source: Expanded from Webster's II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services coding. Source: American Health Information Management Association, Chicago, IL, 1996.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider who renders services to improve communicative skills of people with language, speech and hearing impairments.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider, other than a pharmacy, who supplies healthcare related products. The term supplier also includes pharmacies.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. Source: American Health Information Management Association, Chicago, IL, 1996.

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland's Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster's II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland's Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster's II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 776.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A broad category grouping providers who apply scientific knowledge in solving practical or theoretical problems or applies technical procedures in accordance with their training and experience.

Content from code system(s):
1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A provider who moves a patient, tissue specimen or equipment from one location to another

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1  NUCC Health Care Provider Taxonomy [2.16.840.1.113883.6.101]

Description:

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. Source: Dorland's Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823