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Transcription:

01 Inpatient facility 010 Acute Care Hospital 273100000X Hospital Units Epilepsy Unit 01 Inpatient facility 010 Acute Care Hospital 282N00000X Hospitals General Acute Care Hospital 01 Inpatient facility 010 Acute Care Hospital 282NC0060X Hospitals General Acute Care Hospital Critical Access 01 Inpatient facility 010 Acute Care Hospital 282NC2000X Hospitals General Acute Care Hospital Children 01 Inpatient facility 010 Acute Care Hospital 282NR1301X Hospitals General Acute Care Hospital Rural 01 Inpatient facility 010 Acute Care Hospital 282NW0100X Hospitals General Acute Care Hospital Women 01 Inpatient facility 010 Acute Care Hospital 286500000X Hospitals Military Hospital 01 Inpatient facility 010 Acute Care Hospital 2865M2000X Hospitals Military Hospital Military General Acute Care Hospital 01 Inpatient facility 0 Private Psychiatric Hospital 283Q00000X Hospitals Psychiatric Hospital Default specialty Code 01 Inpatient facility 012 Medical Rehabilitation Hospital 283X00000X Hospitals Rehabilitation Hospital Default specialty Code 01 Inpatient facility 012 Medical Rehabilitation Hospital 283XC2000X Hospitals Rehabilitation Hospital Children Residential Treatment Facilities 01 Inpatient facility 013 Residential Treatment Facility (JCAHO Psychiatric Residential Treatment Facility Certified) Hospital 323P00000X Hospital Unit Rehabilitation Unit 01 Inpatient facility 014 Inpatient Medical Rehab Unit 273Y00000X Hospitals 01 Inpatient facility 015 Children s Specialty 282NC2000X General Acute Care Hospital Children 01 Inpatient facility 016 Emergency Room Arrangement 1 261QE0002X Emergency Care 01 Inpatient facility 017 Emergency Room Arrangement 2 261QE0002X Emergency Care 01 Inpatient facility 018 Extended Acute Psych Inpatient Unit 273R00000X Hospital Unit Psychiatric Unit 01 Inpatient facility 019 Drug and Alcohol Rehabilitation Hospital 284300000X Hospitals Special Hospital Default specialty Code 01 Inpatient facility 021 Short Procedure Unit 261Q00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 1 of 64

01 Inpatient facility 021 Short Procedure Unit 261QA1903X Ambulatory Surgical 01 Inpatient facility 022 Private Psychiatric Unit 273R00000X Hospital Unit Psychiatric Unit 01 Inpatient facility 023 Public Psychiatric Hospital 283Q00000X Hospitals Psychiatric Hospital Default specialty Code 01 Inpatient Facility 183 Hospital Based Medical Clinic 261Q00000X Default Specialty code 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QA0005X Ambulatory Family Planning Facility 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QA0006X Ambulatory Fertility Facility 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QA0600X Adult Day Care 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QA1903X Ambulatory Surgical 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QA3000X Augmentative Communication 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QB0400X Birthing 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QC0050X Critical Access Hospital 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QC1500X Community Health 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QD0000X Dental 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QD1600X Developmental Disabilities 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QE0002X Emergency Care 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QE0700X End Stage Renal Disease (ESRD) Treatment 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QE0800X Endoscopies 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QF0050X Family Planning Non Surgical 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QF0400X Federally Qualified Health Center (FQHC) Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 2 of 64

01 Inpatient Facility 183 Hospital Based Medical Clinic 261QG0250X Genetics 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QH0100X Health Service 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QH0700X Hearing and Speech 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QI0500X Infusion Therapy 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QL0400X Lithotripsy 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QM1000X Migrant Health 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QM1200X Magnetic Resonance Imaging (MRI) 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QM1300X Multi Specialty 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QM2500X Medical Specialty 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QM3000X Medically Fragile Infants and Children Day Care 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QP04X Public Health Federal 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QP05X Public Health State or Local 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QP00X Podiatric 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QP2000X Physical Therapy 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QP2300X Primary Care 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QP3300X Pain 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0200X Radiology 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0206X Radiology Mammography 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0400X Rehabilitation Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 3 of 64

01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0401X Rehabilitation Comprehensive Outpatient Rehabilitation Facility (CORF) 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0404X Rehabilitation Cardiac Facilities 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0405X Rehabilitation Substance Use Disorder 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QR0800X Recovery Care 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QS02X Oral and Maxillofacial Surgery 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QS0132X Ophthalmologic Surgery 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QU0200X Urgent Care 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QX0100X Occupational Medicine 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QX0200X Oncology 01 Inpatient Facility 183 Hospital Based Medical Clinic 261QX0203X Oncology Radiation 01 Inpatient facility 441 Drug and Alcohol Rehab Unit 276400000X Hospital Unit Rehabilitation Substance Use Disorder Unit 02 Ambulatory Surgical Center 020 Ambulatory Surgical Center 261Q00000X 02 Ambulatory Surgical Center 020 Ambulatory Surgical Center 261QA1903X Ambulatory Surgical Ambulatory Health Care Facilties 02 Ambulatory Surgical Center 020 Ambulatory Surgical Center 261QE0800X Endoscopy 03 Extended Care Facility 030 Nursing Facility 314000000X Nursing and Custodial Care Facilities Skilled Nursing Facility 03 Extended Care Facility 030 Nursing Facility 3140N1450X Nursing and Custodial Care Facilities Skilled Nursing Facility Nursing Care Pediatric 03 Extended Care Facility 031 County Nursing Facility 314000000X Nursing and Custodial Care Facilities Skilled Nursing Facility 03 Extended Care Facility 032 ICF/MR 8 Beds or Less 315P00000X Nursing and Custodial Care Facilities Intermediate Care Facility Mentally Retarded 03 Extended Care Facility 033 ICF/MR 9 Beds or More 315P00000X Nursing and Custodial Care Facilities Intermediate Care Facility Mentally Retarded Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 4 of 64

03 Extended Care Facility 037 State LTC Unit 314000000X Nursing and Custodial Care Facilities Skilled Nursing Facility 03 Extended Care Facility 038 State Mental Retardation Center 314000000X Nursing and Custodial Care Facilities Skilled Nursing Facility 03 Extended Care Facility 039 ICF/ORC 313M00000X Nursing and Custodial Care Facilities Nursing Facility/Intermediate Care Facility 03 Extended Care Facility 040 Special Rehabilitation Nursing Facilities 314000000X Nursing and Custodial Care Facilities Skilled Nursing Facility Hospitals Military Hospital 03 Extended Care Facility 042 DMVA Nursing Facilities 2865M2000X Military General Acute Care Hospital Hospitals Inpatient Facility Based LTC Extended Long Term Care Hospital 03 Extended Care Facility 382 Care Facility 282E00000X Nursing and Custodial Care Facilities 03 Extended Care Facility 382 Inpatient Facility Based LTC Extended Skilled Nursing Facility Care Facility 314000000X 04 Rehabilitation Facility 041 Comprehensive Outpatient Rehab Facility 261QR0401X Rehabilitation Comprehensive Outpatient Rehabilitation Facility (CORF) 05 Home Health 025 Personal Emergency Response System 333300000X Suppliers Emergency Response System Companies 05 Home Health 050 Home Health Services 251E00000X Home Health 05 Home Health 051 Private Duty Nursing 251E00000X Home Health 05 Home Health 250 DME / Medical Supplies 251E00000X Home Health 05 Home Health 361 Personal Care - Agency 251E00000X Home Health 05 Home Health 362 Attendant Care/Personal Assistance Home Health Service 251E00000X Home Health 05 Home Health 410 Adult Day Care 251E00000X 05 Home Health 430 Homemaker Services 251E00000X Home Health 05 Home Health 512 Respite Care Home Based 251E00000X Home Health 06 Hospice 060 Hospice 251G00000X Hospice Care Community Based Program of All Inclusive Care for the Elderly (PACE) Provider Organization 07 Capitation 070 Updated 3/23/20 LTC CAP 251T00000X NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 5 of 64

07 Capitation 073 PCCM 302R00000X Managed Care Organizations Health Maintenance Organization 08 Clinic 075 Targeted Outpatient Treatment 251K00000X Public Health of Welfare 08 Clinic 075 Targeted Outpatient Treatment 251S00000X Community/Behavioral Health 08 Clinic 075 Targeted Outpatient Treatment 261Q00000X 08 Clinic 075 Targeted Outpatient Treatment 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 075 Targeted Outpatient Treatment 261QM0850X Adult Mental Health 08 Clinic 075 Targeted Outpatient Treatment 261QM0855X Adolescent and Children Mental Health 08 Clinic 076 Peer Specialist 261Q00000X 08 Clinic 076 Peer Specialist 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 076 Peer Specialist 261QM0850X Adult Mental Health 08 Clinic 076 Peer Specialist 261QR0400X Rehabilitation 08 Clinic 080 Federally Qualified Health Center 251E00000X Home Health 08 Clinic 080 Federally Qualified Health Center 261Q00000X 08 Clinic 080 Federally Qualified Health Center 261QF0400X Federally Qualified Health Center (FQHC) 08 Clinic 081 Rural Health Clinic 261Q00000X 08 Clinic 081 Rural Health Clinic 261QR1300X Rural Health 08 Clinic 082 Independent Medical / Surgical Clinic 261Q00000X 08 Clinic 082 Independent Medical / Surgical Clinic 261QA1903X Ambulatory Surgical 08 Clinic 082 Independent Medical / Surgical Clinic 261QN2500X Medical Specialty Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 6 of 64

08 Clinic 083 Family Planning Clinic 261Q00000X 08 Clinic 083 Family Planning Clinic 261QA0005X Ambulatory Family Planning Facility 08 Clinic 083 Family Planning Clinic 261QA0006X Ambulatory Fertility Facility 08 Clinic 083 Family Planning Clinic 261QF0050X Family Planning Non-Surgical 08 Clinic 084 Methadone Maintenance 261Q00000X 08 Clinic 084 Methadone Maintenance 261QM2800X Methadone 08 Clinic 086 Dental Clinic 261Q00000X 08 Clinic 086 Dental Clinic 261QD0000X Dental 08 Clinic 0 Psychiatric Outpatient 251K00000X Public Health of Welfare 08 Clinic 0 Psychiatric Outpatient 251S00000X Community/Behavioral Health 08 Clinic 0 Psychiatric Outpatient 261Q00000X 08 Clinic 0 Psychiatric Outpatient 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 0 Psychiatric Outpatient 261QM0850X Adult Mental Health 08 Clinic 0 Psychiatric Outpatient 261QM0855X Adolescent and Children Mental Health 08 Clinic 163 Nurse Family Partnership 261QF0400X Federally Qualified Health Center (FQHC) 08 Clinic 184 Outpatient Drug and Alcohol 251K00000X Public Health or Welfare 08 Clinic 184 Outpatient Drug and Alcohol 251S00000X Community/Behavioral Health 08 Clinic 184 Outpatient Drug and Alcohol 261Q00000X 08 Clinic 184 Outpatient Drug and Alcohol 261QM0801X Mental Health (Including community Mental Health Center) Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 7 of 64

08 Clinic 184 Outpatient Drug and Alcohol 261QM0850X Adult Mental Health 08 Clinic 184 Outpatient Drug and Alcohol 261QM0855X Adolescent and Children Mental Health 08 Clinic 800 FQHC Therapeutic Staff Support 261Q00000X 08 Clinic 800 FQHC Therapeutic Staff Support 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 800 FQHC Therapeutic Staff Support 261QM0855X Adolescent and Children Mental Health 08 Clinic 801 FQHC Mobile Therapy 261Q00000X 08 Clinic 801 FQHC Mobile Therapy 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 801 FQHC Mobile Therapy 261QM0855X Adolescent and Children Mental Health 08 Clinic 802 FQHC Behavioral Specialist Consultant 261Q00000X 08 Clinic 802 FQHC Behavioral Specialist Consultant 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 802 FQHC Behavioral Specialist Consultant 261QM0855X Adolescent and Children Mental Health 08 Clinic 803 FQHC Summer Therapeutic Activity Program (STAP) 261Q00000X 08 Clinic 803 FQHC Summer Therapeutic Activity Program (STAP) 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 803 FQHC Summer Therapeutic Activity Program (STAP) 261QM0855X Adolescent and Children Mental Health 08 Clinic 804 RHC Therapeutic Staff Support 261Q00000X 08 Clinic 804 RHC Therapeutic Staff Support 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 804 RHC Therapeutic Staff Support 261QM0855X Adolescent and Children Mental Health 08 Clinic 805 RHC Mobile Therapy 261Q00000X 08 Clinic 805 RHC Mobile Therapy 261QM0801X Mental Health (Including community Mental Health Center) Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 8 of 64

08 Clinic 805 RHC Mobile Therapy 261QM0855X Adolescent and Children Mental Health 08 Clinic 806 RHC Behavioral Specialist Consultant 261Q00000X 08 Clinic 806 RHC Behavioral Specialist Consultant 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 806 RHC Behavioral Specialist Consultant 261QM0855X Adolescent and Children Mental Health 08 Clinic 807 RHC Summer Therapeutic Activity Program (STAP) 261Q00000X 08 Clinic 807 RHC Summer Therapeutic Activity Program (STAP) 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 807 RHC Summer Therapeutic Activity Program (STAP) 261QM0855X Adolescent and Children Mental Health 08 Clinic 808 Psych Therapeutic Staff Support 261Q00000X 08 Clinic 808 Psych Therapeutic Staff Support 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 808 Psych Therapeutic Staff Support 261QM0855X Adolescent and Children Mental Health 08 Clinic 8 Psych Mobile Therapy 261Q00000X 08 Clinic 8 Psych Mobile Therapy 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 8 Psych Mobile Therapy 261QM0855X Adolescent and Children Mental Health 08 Clinic 810 Psych Behavioral Specialist Consultant 261Q00000X 08 Clinic 810 Psych Behavioral Specialist Consultant 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 810 Psych Behavioral Specialist Consultant 261QM0855X Adolescent and Children Mental Health 08 Clinic 8 Psych Summer Therapeutic Activity Program (STAP) 261Q00000X 08 Clinic 8 Psych Summer Therapeutic Activity Program (STAP) 261QM0801X Mental Health (Including community Mental Health Center) 08 Clinic 8 Psych Summer Therapeutic Activity Program (STAP) 261QM0855X Adolescent and Children Mental Health Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 9 of 64

0 Pediatric 193200000X 0 Pediatric 193400000X 0 Pediatric 363L00000X 0 Pediatric 363LP0200X 0 Pediatric 363LP0222X 0 Pediatric 363LP2300X 1 Obstetrics / Gynecology 193200000X 1 Obstetrics / Gynecology 193400000X 1 Obstetrics / Gynecology 363L00000X 1 Obstetrics / Gynecology 363LA2200X 1 Obstetrics / Gynecology 363LP2300X 1 Obstetrics / Gynecology 363LX0001X 2 Family Health 193200000X 2 Family Health 193400000X 2 Family Health 363L00000X 2 Family Health 363LF0000X 2 Family Health 363LP2300X 3 (Primary Care) 193200000X Pediatrics Pediatrics Critical Care Primary Care Adult Health Primary Care Obstetrics and Gynecology Family Primary Care 3 (Primary Care) 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 10 of 64

3 (Primary Care) 363L00000X 3 (Primary Care) 363LP2300X 4 Family Home Health 193200000X 4 Family Home Health 193400000X 4 Family Home Health 363L00000X 4 Family Home Health 363LC1500X 4 Family Home Health 363LF0000X 4 Family Home Health 363LP2300X 5 Adult Health 193200000X 5 Adult Health 193400000X 5 Adult Health 363L00000X 5 Adult Health 363LA2200X 5 Adult Health 363LP2300X 6 School Nurse 193200000X 6 School Nurse 193400000X 6 School Nurse 363L00000X 6 School Nurse 363LS0200X 7 Family Planning 193200000X Primary Care Community Health Family Primary Care Adult Health Primary Care School 7 Family Planning 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 of 64

7 Family Planning 363L00000X 7 Family Planning 363LA2200X 7 Family Planning 363LC1500X 7 Family Planning 363LF0000X 7 Family Planning 363LP2300X 7 Family Planning 363LW0102X 7 Family Planning 363LX0001X 8 Gerontology 193200000X 8 Gerontology 193400000X 8 Gerontology 363L00000X 8 Gerontology 363LG0600X 8 Gerontology 363LP2300X 9 Emergency 193200000X 9 Emergency 193400000X 9 Emergency 363L00000X 9 Emergency 363LC0200X 101 Neonatal 193200000X 101 Neonatal 193400000X Adult Health Community Health Family Primary Care Womens Health Obstetrics and Gynecology Gerontology Primary Care Critical Care Medicine 101 Neonatal 363L00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 12 of 64

101 Neonatal 363LN0000X 101 Neonatal 363LN0005X 101 Neonatal 363LP2300X 103 Adult Psych Mental Health 193200000X 103 Adult Psych Mental Health 193400000X 103 Adult Psych Mental Health 363L00000X 103 Adult Psych Mental Health 363LP0808X 103 Adult Psych Mental Health 363LP2300X 104 Adult Acute Care 193200000X 104 Adult Acute Care 193400000X 104 Adult Acute Care 363L00000X 104 Adult Acute Care 363LA2100X 104 Adult Acute Care 363LP2300X 105 Pediatric Acute Chronic 193200000X 105 Pediatric Acute Chronic 193400000X 105 Pediatric Acute Chronic 363L00000X 105 Pediatric Acute Chronic 363LP0200X 105 Pediatric Acute Chronic 363LP2300X Neonatal Neonatal Critical Care Primary Care Psychiatric/Mental Health Primary Care Acute Care Primary Care Pediatrics Primary Care 106 Pediatric Critical Care 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 13 of 64

106 Pediatric Critical Care 193400000X 106 Pediatric Critical Care 363L00000X 106 Pediatric Critical Care 363LP0222X 107 Adult Cardiopulmonary 193200000X 107 Adult Cardiopulmonary 193400000X 107 Adult Cardiopulmonary 363L00000X 107 Adult Cardiopulmonary 363LA2200X 107 Adult Cardiopulmonary 363LP2300X 108 Adult Surgical 193200000X 108 Adult Surgical 193400000X 108 Adult Surgical 363L00000X 108 Adult Surgical 363LA2200X 108 Adult Surgical 363LP2300X 1 Adult Renal Metabolic 193200000X 1 Adult Renal Metabolic 193400000X 1 Adult Renal Metabolic 363L00000X 1 Adult Renal Metabolic 363LA2200X 1 Adult Renal Metabolic 363LP2300X Pediatrics Critical Care Adult Health Primary Care Adult Health Primary Care Adult Health Primary Care 292 Adult Critical Care 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 14 of 64

292 Adult Critical Care 193400000X 292 Adult Critical Care 363L00000X 292 Adult Critical Care 363LA2200X 292 Adult Critical Care 363LP2300X 293 Adult Neuroscience 193200000X 293 Adult Neuroscience 193400000X 293 Adult Neuroscience 363L00000X 293 Adult Neuroscience 363LA2200X 293 Adult Neuroscience 363LP2300X 294 Adult Oncology 193200000X 294 Adult Oncology 193400000X 294 Adult Oncology 363L00000X 294 Adult Oncology 363LA2200X 294 Adult Oncology 363LP2300X 295 Adult Preoperative 193200000X 295 Adult Preoperative 193400000X 295 Adult Preoperative 363L00000X 295 Adult Preoperative 363LA2200X Adult Health Primary Care Adult Health Primary Care Adult Health Primary Care Adult Health 297 Pediatric Oncology 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 15 of 64

297 Pediatric Oncology 193400000X 297 Pediatric Oncology 363L00000X 297 Pediatric Oncology 363LP0200X 298 Perinatal 193200000X 298 Perinatal 193400000X 298 Perinatal 363L00000X 298 Perinatal 363LP1700X 299 Womens Health 193200000X 299 Womens Health 193400000X 299 Womens Health 363L00000X 299 Womens Health 363LP2300X 299 Womens Health 363LW0102X 548 Therapeutic Staff Support 193200000X 548 Therapeutic Staff Support 193400000X 548 Therapeutic Staff Support 363LP0808X 549 Mobile Therapy 193200000X 549 Mobile Therapy 193400000X 549 Mobile Therapy 363LP0808X Pediatrics Perinatal Primary Care Womens Health Psychiatric/Mental Health Psychiatric/Mental Health 559 Behavioral Specialist Consultant 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 16 of 64

559 Behavioral Specialist Consultant 193400000X 559 Behavioral Specialist Consultant 363LP0808X Substance abuse 076 Peer Specialist 261Q00000X Substance abuse 076 Peer Specialist 261QM0801X Substance abuse 076 Peer Specialist 261QM0850X Substance abuse 076 Peer Specialist 261QR0400X Substance abuse 0 Psychiatric Outpatient 251K00000X Substance abuse 0 Psychiatric Outpatient 251S00000X Substance abuse 0 Psychiatric Outpatient 261Q00000X Substance abuse 0 Psychiatric Outpatient 261QM0801X Substance abuse 0 Psychiatric Outpatient 261QM0850X Substance abuse 0 Psychiatric Outpatient 261QM0855X Substance abuse 1 Community Mental Health 251K00000X Substance abuse 1 Community Mental Health 251S00000X Substance abuse 1 Community Mental Health 261Q00000X Substance abuse 1 Community Mental Health 261QM0801X Substance abuse 1 Community Mental Health 261QM0850X Substance abuse 1 Community Mental Health 261QM0855X Psychiatric/Mental Health Mental Health (Including community Mental Health Center) Adult Mental Health Rehabilitation Public Health or Welfare Community/Behavioral Health Mental Health (including community Mental Health Center) Adult Mental Health Adolescent and Children Mental Health Public Health or Welfare Community/Behavioral Health Mental Health (including community Mental Health Center) Adult Mental Health Adolescent and Children Mental Health Counselor Substance abuse 2 Licensed Outpatient Practitioner - MH 101Y00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 17 of 64

Substance abuse 2 Licensed Outpatient Practitioner - MH 101YA0400X Substance abuse 2 Licensed Outpatient Practitioner - MH 101YM0800X Substance abuse 2 Licensed Outpatient Practitioner - MH 101YP2500X Substance abuse 2 Licensed Outpatient Practitioner - MH 103K00000X Substance abuse 2 Licensed Outpatient Practitioner - MH 103TH0004X Substance abuse 2 Licensed Outpatient Practitioner - MH 104100000X Substance abuse 2 Licensed Outpatient Practitioner - MH 106H00000X Substance abuse 2 Licensed Outpatient Practitioner - MH 225XM0800X Substance abuse 3 Partial Psych Hospitalization Children 251K00000X Substance abuse 3 Partial Psych Hospitalization Children 251S00000X Substance abuse 3 Partial Psych Hospitalization Children 261Q00000X Substance abuse 3 Partial Psych Hospitalization Children 261QM0801X Substance abuse 3 Partial Psych Hospitalization Children 261QM0855X Substance abuse 4 Partial Psych Hospitalization Adult 251K00000X Substance abuse 4 Partial Psych Hospitalization Adult 251S00000X Substance abuse 4 Partial Psych Hospitalization Adult 261Q00000X Substance abuse 4 Partial Psych Hospitalization Adult 261QM0801X Substance abuse 4 Partial Psych Hospitalization Adult 261QM0850X Counselor Addiction (Substance Use Disorder) Counselor Mental Health Counselor Professional Behavioral Analyst Health Social Worker Marriage and Family Therapist Occupational Therapist Mental Health Public Health or Welfare Community/Behavioral Health Mental Health (Including Community Mental Health Center) Adolescent and Children Mental Health Public Health or Welfare Community/Behavioral Health Mental Health (Including Community Mental Health Center) Adult Mental Health Public Health or Welfare Substance abuse 5 Family Based Mental Health 251K00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 18 of 64

Substance abuse 5 Family Based Mental Health 251S00000X Substance abuse 5 Family Based Mental Health 261Q00000X Substance abuse 5 Family Based Mental Health 261QM0801X Substance abuse 5 Family Based Mental Health 261QM0855X Substance abuse 6 Licensed Clinical Social Worker 1041C0700X Substance abuse 7 Licensed Social Worker 104100000X Substance abuse 8 Mental Health Crisis Intervention 251K00000X Substance abuse 8 Mental Health Crisis Intervention 251S00000X Substance abuse 8 Mental Health Crisis Intervention 261Q00000X Substance abuse 8 Mental Health Crisis Intervention 261QM0801X Substance abuse 8 Mental Health Crisis Intervention 261QM0850X Substance abuse 9 Mental Health OMHSAS 251K00000X Substance abuse 9 Mental Health OMHSAS 251S00000X Substance abuse 9 Mental Health OMHSAS 261Q00000X Substance abuse 9 Mental Health OMHSAS 261QM0801X Substance abuse 9 Mental Health OMHSAS 261QM0850X Substance abuse 122 Marriage and Family Counselor 106H00000X Substance abuse 123 Psychiatric Rehabilitation 251K00000X Community/Behavioral Health Ambulatory Health care Facilities Mental Health (Including Community Mental Health Center) Adolescent and Children Mental Health Social Worker Clinical Social Worker Public Health or Welfare Community/Behavioral Health Mental Health (Including Community Mental Health Center) Adult Mental Health Public Health or Welfare Community/Behavioral Health Mental Health (Including Community Mental Health Center) Adult Mental Health Marriage and Family Therapist Public Health or Welfare Community/Behavioral Health Substance abuse 123 Psychiatric Rehabilitation 251S00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 19 of 64

Can't find a Prov Type/Specialty combination? Go back to Provider Type Provider Specialty http://www.dpw.sta Taxonomy te.pa.us/business/npiinfo/ and scroll down to the Atypical Prov. section Taxonomy Description Substance abuse 123 Psychiatric Rehabilitation 261Q00000X Substance abuse 123 Psychiatric Rehabilitation 261QM0801X Mental Health (Including Community Mental Health Center) Substance abuse 123 Psychiatric Rehabilitation 261QM0850X Adult Mental Health Mental Illness/Substance Abuse Counselor Substance abuse 124 Professional I 101YA0400X Addiction (Substance Use Disorder) Mental Illness/Substance Abuse Counselor Substance abuse 125 Professional II 101YA0400X Addiction (Substance Use Disorder) Counselor Substance abuse 127 D and A Outpatient 101Y00000X Counselor Substance abuse 127 D and A Outpatient 101YA0400X Addiction (Substance Use Disorder) Counselor Substance abuse 127 D and A Outpatient 101YP2500X Professional Public Health or Welfare Substance abuse 128 D and A Intensive Outpatient 251K00000X Community/Behavioral Health Substance abuse 128 D and A Intensive Outpatient 251S00000X Public Health or Welfare Substance abuse 129 D and A Partial Hospitalization 251K00000X Community/Behavioral Health Substance abuse 129 D and A Partial Hospitalization 251S00000X Substance abuse 129 D and A Partial Hospitalization 261Q00000X Substance abuse 129 D and A Partial Hospitalization 261QM0801X Mental Health (Including Community Mental Health Center) Substance abuse 129 D and A Partial Hospitalization 261QM0850X Adult Mental Health Substance abuse 129 D and A Partial Hospitalization 261QM0855X Adolescent and Children Mental Health Community/Behavioral Health Substance abuse 131 D and A Halfway House 251S00000X Substance abuse 131 D and A Halfway House 261QR0405X Rehabilitation, Substance Use Disorder D and A Medically Monitored Community/Behavioral Health Substance abuse 132 detoxification 251S00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 20 of 64

D and A Medically Monitored Substance abuse 132 detoxification 261QR0405X Rehabilitation, Substance Use Disorder D and A Medically Monitored Residential Community/Behavioral Health Substance abuse 133 Short Term 251S00000X D and A Medically Monitored Residential Substance abuse 133 Short Term 261QR0405X Rehabilitation, Substance Use Disorder D and A Medically Monitored Residential Community/Behavioral Health Substance abuse 134 Long Term 251S00000X D and A Medically Monitored Residential Substance abuse 134 Long Term 261QR0405X Rehabilitation, Substance Use Disorder CARN-AP (Certd Addictions RN-Advanced Clinical Nurse Specialist Substance abuse 137 Practice) 364S00000X Public Health or Welfare Substance abuse 184 Outpatient Drug and Alcohol 251K00000X Community/Behavioral Health Substance abuse 184 Outpatient Drug and Alcohol 251S00000X Substance abuse 184 Outpatient Drug and Alcohol 261Q00000X Substance abuse 184 Outpatient Drug and Alcohol 261QM0801X Mental Health (Including Community Mental Health Center) Substance abuse 184 Outpatient Drug and Alcohol 261QR0405X Rehabilitation, Substance Use Disorder Community/Behavorial Health Substance abuse 340 Program Exception 251S00000X Counselor Substance abuse 420 Autism Behavioral Specialist 101Y00000X Social Worker Substance abuse 421 Autism Social Worker 104100000X Marriage and Family Therapist Substance abuse 422 Autism Marriage and Family Therapist 106H00000X Counselor Substance abuse 423 Autism Professional Counselor 101Y00000X Public Health or Welfare Substance abuse 424 Autism Counseling Agency 251K00000X Community/Behavorial Health Substance abuse 424 Autism Counseling Agency 251S00000X Part Psych Hosp Child Therapeutic Staff Substance abuse 442 Support 261Q00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 21 of 64

Part Psych Hosp Child Therapeutic Staff Substance abuse 442 Support 261QM0801X Mental Health (Including community Mental Health Center) Part Psych Hosp Child Therapeutic Staff Substance abuse 442 Support 261QM0855X Adolescent and Children Mental Health Substance abuse 443 Part Psych Hosp Child Mobile Therapy 261Q00000X Substance abuse 443 Part Psych Hosp Child Mobile Therapy 261QM0801X Mental Health (Including community Mental Health Center) Substance abuse 443 Part Psych Hosp Child Mobile Therapy 261QM0855X Adolescent and Children Mental Health Part Psych Hosp Child Behavioral Substance abuse 444 Specialist Consultant 261Q00000X Part Psych Hosp Child Behavioral Substance abuse 444 Specialist Consultant 261QM0801X Mental Health (Including community Mental Health Center) Part Psych Hosp Child Behavioral Substance abuse 444 Specialist Consultant 261QM0855X Adolescent and Children Mental Health Substance abuse 445 Part Psych Hosp Child (STAP) 261Q00000X Substance abuse 445 Part Psych Hosp Child (STAP) 261QM0801X Mental Health (Including community Mental Health Center) Substance abuse 445 Part Psych Hosp Child (STAP) 261QM0855X Adolescent and Children Mental Health Part Psych Hosp Adult Therapeutic Staff Substance abuse 446 Support 261Q00000X Part Psych Hosp Adult Therapeutic Staff Substance abuse 446 Support 261QM0801X Mental Health (Including community Mental Health Center) Part Psych Hosp Adult Therapeutic Staff Substance abuse 446 Support 261QM0855X Adolescent and Children Mental Health Substance abuse 447 Part Psych Hosp Adult Mobile Therapy 261Q00000X Substance abuse 447 Part Psych Hosp Adult Mobile Therapy 261QM0801X Mental Health (Including community Mental Health Center) Substance abuse 447 Part Psych Hosp Adult Mobile Therapy 261QM0855X Adolescent and Children Mental Health Part Psych Hosp Adult Behavioral Substance abuse 448 Specialist Consultant 261Q00000X Part Psych Hosp Adult Behavioral Substance abuse 448 Specialist Consultant 261QM0801X Mental Health (Including community Mental Health Center) Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 22 of 64

Substance abuse 448 Part Psych Hosp Adult Behavioral Specialist Consultant Substance abuse 449 Part Psych Hosp Adult (STAP) 261Q00000X Substance abuse 449 Part Psych Hosp Adult (STAP) 261QM0801X Substance abuse 449 Part Psych Hosp Adult (STAP) 261QM0855X Substance abuse 450 Substance abuse 450 Substance abuse 450 Family Based MNTL HLTH Therapeutic Staff Support Family Based MNTL HLTH Therapeutic Staff Support Family Based MNTL HLTH Therapeutic Staff Support Substance abuse 451 Family Based MNTL HLTH Mobile Therapy 261Q00000X Substance abuse 451 Family Based MNTL HLTH Mobile Therapy 261QM0801X Substance abuse 451 Family Based MNTL HLTH Mobile Therapy 261QM0855X Substance abuse 452 Substance abuse 452 Substance abuse 452 Family Based MNTL HLTH Behavioral Specialist Consultant Family Based MNTL HLTH Behavioral Specialist Consultant Family Based MNTL HLTH Behavioral Specialist Consultant Substance abuse 453 Family Based MNTL HLTH (STAP) 261Q00000X Substance abuse 453 Family Based MNTL HLTH (STAP) 261QM0801X Substance abuse 453 Family Based MNTL HLTH (STAP) 261QM0855X Substance abuse 548 Therapeutic Staff Support 251S00000X Substance abuse 549 Mobile Therapy 251S00000X 261QM0855X Adolescent and Children Mental Health Mental Health (Including community Mental Health Center) Adolescent and Children Mental Health 261Q00000X 261QM0801X Mental Health (Including community Mental Health Center) 261QM0855X Adolescent and Children Mental Health Mental Health (Including community Mental Health Center) Adolescent and Children Mental Health 261Q00000X 261QM0801X Mental Health (Including community Mental Health Center) 261QM0855X Adolescent and Children Mental Health Mental Health (Including community Mental Health Center) Adolescent and Children Mental Health Community/Behavioral Health Community/Behavioral Health Community/Behavioral Health Substance abuse 559 Behavioral Specialist Consultant 251S00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 23 of 64

12 School Corporation 120 Teaching Institute 282N00000X Hospitals General Acute Care Hospital 12 School Corporation 121 Teaching Institute - Dental 282N00000X Hospitals General Acute Care Hospital 14 Podiatrist 140 Podiatrist 193200000X 14 Podiatrist 140 Podiatrist 193400000X 14 Podiatrist 140 Podiatrist 213E00000X Podiatric Medicine and Surgery Providers Podiatrist 14 Podiatrist 140 Podiatrist 213EP0504X Podiatric Medicine and Surgery Providers Podiatrist Public Health 14 Podiatrist 140 Podiatrist 213EP01X Podiatric Medicine and Surgery Providers Podiatrist Primary Podiatric Medicine 14 Podiatrist 140 Podiatrist 213ER0200X Podiatric Medicine and Surgery Providers Podiatrist Radiology 14 Podiatrist 140 Podiatrist 213ES0000X Podiatric Medicine and Surgery Providers Podiatrist Sports Medicine 14 Podiatrist 140 Podiatrist 213ES0103X Podiatric Medicine and Surgery Providers Podiatrist Surgery Foot and Ankle 14 Podiatrist 140 Podiatrist 213ES0131X Podiatric Medicine and Surgery Providers Podiatrist Surgery Foot 15 Chiropractor 150 Chiropractor 1N00000X Chiropractic Providers Chiropractor 15 Chiropractor 150 Chiropractor 1NI00X Chiropractic Providers Chiropractor Internist 15 Chiropractor 150 Chiropractor 1NN0400X Chiropractic Providers Chiropractor Neurology 15 Chiropractor 150 Chiropractor 1NN1001X Chiropractic Providers Chiropractor Nutrition 15 Chiropractor 150 Chiropractor 1NP0017X Chiropractic Providers Chiropractor Pediatric Chiropractor 15 Chiropractor 150 Chiropractor 1NR0200X Chiropractic Providers Chiropractor Radiology 15 Chiropractor 150 Chiropractor 1NR0400X Chiropractic Providers Chiropractor Rehabilitation 15 Chiropractor 150 Chiropractor 1NS0005X Chiropractic Providers Chiropractor Sports Physician Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 24 of 64

15 Chiropractor 150 Chiropractor 1NT0100X Chiropractic Providers Chiropractor Thermography 15 Chiropractor 150 Chiropractor 1NX0100X Chiropractic Providers Chiropractor Occupational Medicine 15 Chiropractor 150 Chiropractor 1NX0800X Chiropractic Providers Chiropractor Orthopedic 15 Chiropractor 150 Chiropractor 193200000X 15 Chiropractor 150 Chiropractor 193400000X 16 Nurse 160 163W00000X Default specialty code 16 Nurse 160 163WA0400X Addiction (Substance Use Disorder) 16 Nurse 160 163WA2000X Administrator 16 Nurse 160 163WC0200X Critical Care Medicine 16 Nurse 160 163WC0400X Case Management 16 Nurse 160 163WC1400X College Health 16 Nurse 160 163WC1500X Community Health 16 Nurse 160 163WC1600X Continuing Education/Staff Development 16 Nurse 160 163WC2100X Continence Care 16 Nurse 160 163WC3500X Cardiac Rehabilitation 16 Nurse 160 163WD0400X Diabetes Educator 16 Nurse 160 163WD00X Dialysis Peritoneal 16 Nurse 160 163WE0003X Emergency 16 Nurse 160 163WE00X Enterostomal Therapy Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 25 of 64

16 Nurse 160 163WF0300X Flight 16 Nurse 160 163WG0000X General Practice 16 Nurse 160 163WG0100X Gastroenterology 16 Nurse 160 163WG0600X Gerontology 16 Nurse 160 163WH0200X Home Health 16 Nurse 160 163WH0500X Hemodialysis 16 Nurse 160 163WH1000X Hospice 16 Nurse 160 163WI0500X Infusion Therapy 16 Nurse 160 163WI0600X Infection Control 16 Nurse 160 163WL0100X Lactation Consultant 16 Nurse 160 163WM0102X Maternal Newborn 16 Nurse 160 163WM0705X Medical Surgical 16 Nurse 160 163WM1400X Nurse Massage Therapist (NMT) 16 Nurse 160 163WN0002X Neonatal Intensive Care 16 Nurse 160 163WN0003X Neonatal Low Risk 16 Nurse 160 163WN0300X Nephrology 16 Nurse 160 163WN0800X Neuroscience 16 Nurse 160 163WN1003X Nutrition Support 16 Nurse 160 163WP0000X Pain Management Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 26 of 64

16 Nurse 160 163WP0200X Pediatrics 16 Nurse 160 163WP0218X Pediatric Oncology 16 Nurse 160 163WP0807X Psychiatric/Mental Health Child and Adolescent 16 Nurse 160 163WP0808X Psychiatric/Mental Health 16 Nurse 160 163WP08X Psychiatric/Mental Health Adult 16 Nurse 160 163WP1700X Perinatal 16 Nurse 160 163WP2201X Ambulatory Care 16 Nurse 160 163WR0006X First Assistant 16 Nurse 160 163WR0400X Rehabilitation 16 Nurse 160 163WR1000X Reproductive Endocrinology/Infertility 16 Nurse 160 163WS0121X Plastic Surgery 16 Nurse 160 163WS0200X School 16 Nurse 160 163WU0100X Urology 16 Nurse 160 163WW0000X Wound Care 16 Nurse 160 163WW0101X Womens Health Care 16 Nurse 160 163WX0002X Obstetric High Risk 16 Nurse 160 163WX0003X Obstetric Inpatient 16 Nurse 160 163WX0106X Occupational Health 16 Nurse 160 163WX0200X Oncology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 27 of 64

16 Nurse 160 163WX0601X Otorhinolaryngology and Head Neck 16 Nurse 160 163WX0800X Orthopedic 16 Nurse 160 163WX00X Ophthalmic 16 Nurse 160 163WX1500X Ostomy Care 16 Nurse 160 193200000X 16 Nurse 160 193400000X 16 Nurse 161 Licensed Practical Nurse 164W00000X Licensed Practical Nurse 16 Nurse 161 Licensed Practical Nurse 193200000X 16 Nurse 161 Licensed Practical Nurse 193400000X 16 Nurse 162 Psychiatric Nurse 163WP0807X Psychiatric/Mental Health Child and Adolescent 16 Nurse 162 Psychiatric Nurse 163WP0808X Psychiatric/Mental Health 16 Nurse 162 Psychiatric Nurse 193200000X 16 Nurse 162 Psychiatric Nurse 193400000X 16 Nurse 163 Nurse Family Partnership 163W00000X 16 Nurse 572 Early Intervention Services 163W00000X 16 Nurse 572 Early Intervention Services 252Y00000X Early Intervention Provider Agency 17 Therapist 170 Physical Therapist 193200000X 17 Therapist 170 Physical Therapist 193400000X 17 Therapist 170 Physical Therapist 222Q00000X Developmental Therapist Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 28 of 64

17 Therapist 170 Physical Therapist 225100000X Physical Therapist 17 Therapist 170 Physical Therapist 2251C2600X Physical Therapist Cardiopulmonary 17 Therapist 170 Physical Therapist 2251E1200X Physical Therapist Ergonomics 17 Therapist 170 Physical Therapist 2251E1300X Physical Therapist Electrophysiology Clinical 17 Therapist 170 Physical Therapist 2251G0304X Physical Therapist Geriatrics 17 Therapist 170 Physical Therapist 2251H1200X Physical Therapist Hand 17 Therapist 170 Physical Therapist 2251H1300X Physical Therapist Human Factors 17 Therapist 170 Physical Therapist 2251N0400X Physical Therapist Neurology 17 Therapist 170 Physical Therapist 2251P0200X Physical Therapist Pediatrics 17 Therapist 170 Physical Therapist 2251S0007X Physical Therapist Sports 17 Therapist 170 Physical Therapist 2251X0800X Physical Therapist Orthopedic 17 Therapist 170 Physical Therapist 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider 17 Therapist 171 Occupational Therapist 193200000X 17 Therapist 171 Occupational Therapist 193400000X 17 Therapist 171 Occupational Therapist 222Q00000X Developmental Therapist 17 Therapist 171 Occupational Therapist 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider 17 Therapist 171 Occupational Therapist 225X00000X Occupational Therapist Default Specialty code 17 Therapist 171 Occupational Therapist 225XE0001X Occupational Therapist Environmental Modification 17 Therapist 171 Occupational Therapist 225XE1200X Occupational Therapist Ergonomics Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 29 of 64

17 Therapist 171 Occupational Therapist 225XF0002X Occupational Therapist Feeding Eating and Swallowing 17 Therapist 171 Occupational Therapist 225XG0600X Occupational Therapist Gerontology 17 Therapist 171 Occupational Therapist 225XH1200X Occupational Therapist Hand 17 Therapist 171 Occupational Therapist 225XH1300X Occupational Therapist Human Factors 17 Therapist 171 Occupational Therapist 225XL0004X Occupational Therapist Low Vision 17 Therapist 171 Occupational Therapist 225XM0800X Occupational Therapist Mental Health 17 Therapist 171 Occupational Therapist 225XN1300X Occupational Therapist Neurorehabilitation 17 Therapist 171 Occupational Therapist 225XP0019X Occupational Therapist Physical Rehabilitation 17 Therapist 171 Occupational Therapist 225XP0200X Occupational Therapist Pediatrics 17 Therapist 171 Occupational Therapist 225XR0403X Occupational Therapist Driving and Community Mobility 17 Therapist 172 Respiratory Therapist 193200000X 17 Therapist 172 Respiratory Therapist 193400000X 17 Therapist 172 Respiratory Therapist 222Q00000X Developmental Therapist 17 Therapist 172 Respiratory Therapist 227800000X Respiratory Therapist Certified Default Specialty code 17 Therapist 172 Respiratory Therapist 2278C0205X Respiratory Therapist Certified Critical Care 17 Therapist 172 Respiratory Therapist 2278E0002X Respiratory Therapist Certified Emergency Care 17 Therapist 172 Respiratory Therapist 2278E1000X Respiratory Therapist Certified Patient Education 17 Therapist 172 Respiratory Therapist 2278G0305X Respiratory Therapist Certified Geriatric Care 17 Therapist 172 Respiratory Therapist 2278G00X Respiratory Therapist Certified General Care Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 30 of 64

17 Therapist 172 Respiratory Therapist 2278H0200X Respiratory Therapist Certified Home Health 17 Therapist 172 Respiratory Therapist 2278P1004X Respiratory Therapist Certified Pulmonary Diagnostics 17 Therapist 172 Respiratory Therapist 2278P1005X Respiratory Therapist Certified Pulmonary Rehabilitation 17 Therapist 172 Respiratory Therapist 2278P1006X Respiratory Therapist Certified Pulmonary Function Technologist 17 Therapist 172 Respiratory Therapist 2278P3800X Respiratory Therapist Certified Palliative/Hospice 17 Therapist 172 Respiratory Therapist 2278P3900X Respiratory Therapist Certified Neonatal/Pediatrics 17 Therapist 172 Respiratory Therapist 2278P4000X Respiratory Therapist Certified Patient Transport 17 Therapist 172 Respiratory Therapist 2278S1500X Respiratory Therapist Certified SNF/Subacute Care 17 Therapist 172 Respiratory Therapist 227900000X Respiratory Therapist Registered Default Specialty code 17 Therapist 172 Respiratory Therapist 2279C0205X Respiratory Therapist Registered Critical Care 17 Therapist 172 Respiratory Therapist 2279E0002X Respiratory Therapist Registered Emergency Care 17 Therapist 172 Respiratory Therapist 2279E1000X Respiratory Therapist Registered Patient Education 17 Therapist 172 Respiratory Therapist 2279G0305X Respiratory Therapist Registered Geriatric Care 17 Therapist 172 Respiratory Therapist 2279G00X Respiratory Therapist Registered General Care 17 Therapist 172 Respiratory Therapist 2279H0200X Respiratory Therapist Registered Home Care 17 Therapist 172 Respiratory Therapist 2279P1004X Respiratory Therapist Registered Pulmonary Diagnostics 17 Therapist 172 Respiratory Therapist 2279P1005X Respiratory Therapist Registered Pulmonary Rehabilitation 17 Therapist 172 Respiratory Therapist 2279P1006X Respiratory Therapist Registered Pulmonary Function Technologist 17 Therapist 172 Respiratory Therapist 2279P3800X Respiratory Therapist Registered Palliative/Hospice Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 31 of 64

17 Therapist 172 Respiratory Therapist 2279P3900X Respiratory Therapist Registered Neonatal/Pediatrics 17 Therapist 172 Respiratory Therapist 2279P4000X Respiratory Therapist Registered Patient Transport 17 Therapist 172 Respiratory Therapist 2279S1500X Respiratory Therapist Registered SNF/Subacute Care 17 Therapist 173 Speech/Hearing Therapist 193200000X 17 Therapist 173 Speech/Hearing Therapist 193400000X 17 Therapist 173 Speech/Hearing Therapist 222Q00000X Developmental Therapist Speech Language and Hearing Providers 17 Therapist 173 Speech/Hearing Therapist 235Z00000X Speech-Language Pathologist 17 Therapist 174 Art Therapist 101Y00000X Counselor 17 Therapist 174 Art Therapist 101YP2500X Counselor Professional 17 Therapist 174 Art Therapist 1041C0700X Social Worker Clinical 17 Therapist 174 Art Therapist 193200000X 17 Therapist 174 Art Therapist 193400000X 17 Therapist 174 Art Therapist 221700000X Art Therapist 17 Therapist 174 Art Therapist 222Q00000X Developmental Therapist 17 Therapist 175 Music Therapist 101Y00000X Counselor 17 Therapist 175 Music Therapist 101YP2500X Counselor Professional 17 Therapist 175 Music Therapist 1041C0700X Social Worker Clinical 17 Therapist 175 Music Therapist 193200000X 17 Therapist 175 Music Therapist 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 32 of 64

17 Therapist 175 Music Therapist 222Q00000X Developmental Therapist 17 Therapist 175 Music Therapist 225A00000X Music Therapist 17 Therapist 176 Physical Therapist early Intervention 222Q00000X Developmental Therapist 17 Therapist 176 Physical Therapist early Intervention 225100000X Physical Therapist 17 Therapist 176 Physical Therapist early Intervention 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider 17 Therapist 177 Occupational Therapist early Intervention 222Q00000X Developmental Therapist 17 Therapist 177 Occupational Therapist early Intervention 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider 17 17 Therapist Therapist 177 177 Occupational Therapist early Intervention Occupational Therapist Early Intervention 225X00000X 252Y00000X Occupational Therapist Early Intervention Provider Agency 17 Therapist 178 Speech and Hearing Therapist early Developmental Therapist Intervention 222Q00000X Speech Language and Hearing Providers 17 Therapist 178 Speech and Hearing Therapist early Intervention 235Z00000X Speech-Language Pathologist 17 Therapist 178 Speech and Hearing Therapist Early Intervention 252Y00000X Early Intervention Provider Agency 18 Optometrist 180 Optometrist 152W00000X Eye and Vision Service Providers Optometrist 18 Optometrist 180 Optometrist 152WC0802X Eye and Vision Service Providers Optometrist Corneal and Contact Management 18 Optometrist 180 Optometrist 152WL0500X Eye and Vision Service Providers Optometrist Low Vision Rehabilitation 18 Optometrist 180 Optometrist 152WP0200X Eye and Vision Service Providers Optometrist Pediatrics 18 Optometrist 180 Optometrist 152WS0006X Eye and Vision Service Providers Optometrist Sports Vision 18 Optometrist 180 Optometrist 152WV0400X Eye and Vision Service Providers Optometrist Vision Therapy 18 Optometrist 180 Optometrist 152WX0102X Eye and Vision Service Providers Optometrist Occupational Vision Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 33 of 64

18 Optometrist 180 Optometrist 193200000X 18 Optometrist 180 Optometrist 193400000X 19 190 General 102L00000X Psychoanalyst 19 190 General 103T00000X 19 190 General 103TB0200X Cognitive and Behavioral 19 190 General 103TC2200X Clinical Child and Adolescent 19 190 General 103TH0004X Health 19 190 General 103TP2701X Psychotherapy 19 190 General 193200000X 19 190 General 193400000X 19 191 Clinical Neuropsychologist 103G00000X Clinical Neuropsychologist 19 191 Clinical Neuropsychologist 103T00000X 19 191 Clinical Neuropsychologist 103TH0004X Health 19 191 Clinical Neuropsychologist 193200000X 19 191 Clinical Neuropsychologist 193400000X 19 192 Clinical Health 103T00000X 19 192 Clinical Health 103TC0700X Clinical 19 192 Clinical Health 103TH0004X Health 19 192 Clinical Health 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 34 of 64

19 192 Clinical Health 193400000X 19 194 School 103T00000X 19 194 School 103TH0004X Health 19 194 School 103TS0200X School 19 194 School 193200000X 19 194 School 193400000X 19 195 Clinical 103T00000X 19 195 Clinical 103TC0700X Clinical 19 195 Clinical 103TH0004X Health 19 195 Clinical 193200000X 19 195 Clinical 193400000X 19 196 Clinical Child 103T00000X 19 196 Clinical Child 103TH0004X Health 19 196 Clinical Child 193200000X 19 196 Clinical Child 193400000X 19 197 Counseling 103T00000X 19 197 Counseling 103TC1900X Counseling 19 197 Counseling 103TH0004X Health 19 197 Counseling 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 35 of 64

19 197 Counseling 193400000X 19 198 Industrial Organizational 103T00000X 19 198 Industrial Organizational 103TH0004X Health 19 198 Industrial Organizational 193200000X 19 198 Industrial Organizational 193400000X 19 199 Behavioral 103T00000X 19 199 Behavioral 103TB0200X Cognitive and Behavioral 19 199 Behavioral 103TH0004X Health 19 199 Behavioral 193200000X 19 199 Behavioral 193400000X 19 201 Forensic 103T00000X 19 201 Forensic 103TF0200X Forensic 19 201 Forensic 103TH0004X Health 19 201 Forensic 193200000X 19 201 Forensic 193400000X 19 202 Family 103T00000X 19 202 Family 103TF0000X Family 19 202 Family 193200000X 19 202 Family 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 36 of 64

19 204 Clinical Geropsychologist 103T00000X 19 204 Clinical Geropsychologist 103TA0700X Clinical 19 204 Clinical Geropsychologist 103TH0004X Health 19 204 Clinical Geropsychologist 193200000X 19 204 Clinical Geropsychologist 193400000X 19 206 Trtmt of Alcol and other Psycav Sbstc Use Dsordrs 103T00000X 19 206 Trtmt of Alcol and other Psycav Sbstc Use Dsordrs 103TA0400X Addiction (Substance Use Disorder) 19 206 Trtmt of Alcol and other Psycav Sbstc Use Dsordrs 103TH0004X Health 19 206 Trtmt of Alcol and other Psycav Sbstc Use Dsordrs 193200000X 19 206 Trtmt of Alcol and other Psycav Sbstc Use Dsordrs 193400000X 19 207 Cognitive Therapist 103T00000X 19 207 Cognitive Therapist 103TH0004X Health 19 207 Cognitive Therapist 193200000X 19 207 Cognitive Therapist 193400000X 19 208 Behavioral Therapist Consultant 103T00000X 19 208 Behavioral Therapist Consultant 103TH0004X Health 19 208 Behavioral Therapist Consultant 193200000X 19 208 Behavioral Therapist Consultant 193400000X 19 425 Autism Certified 103T00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 37 of 64

19 548 Therapeutic Staff Support 103T00000X 19 548 Therapeutic Staff Support 193200000X 19 548 Therapeutic Staff Support 193400000X 19 549 Mobile Therapy 103T00000X 19 559 Behavioral Specialist Consultant 103T00000X 19 559 Behavioral Specialist Consultant 193200000X 19 559 Behavioral Specialist Consultant 193400000X 19 572 Early Intervention Services 103T00000X 20 Audiologist 200 Audiologist 193200000X 20 Audiologist 200 Audiologist 193400000X 20 Audiologist 200 Audiologist 231H00000X Speech Language and Hearing Providers Audiologist 20 Audiologist 220 Hearing Aid Dispenser 237600000X Speech Language and Hearing Providers Audiologist - Hearing Aid Fitter 20 Audiologist 572 Early Intervention Services 231H00000X Speech Language and Hearing Providers Audiologist 20 Audiologist 572 Early Intervention Services 252Y00000X Early Intervention Provider Agency 21 Case Manager 076 Peer Specialist 261Q00000X 21 Case Manager 076 Peer Specialist 261QM0801X Mental Health (Including community Mental Health Center) 21 Case Manager 076 Peer Specialist 261QM0850X Adult Mental Health 21 Case Manager 076 Peer Specialist 261QR0400X Rehabilitation 21 Case Manager 138 D and A Targeted Case Management 251B00000X Case Management Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 38 of 64

21 Case Manager 212 Medical Assistance Case Management for Case Management under 21 years of age 251B00000X Other Service Providers Case Manager/Care Coordinator 21 Case Manager 213 Early Intervention - Supports Coordination 171M00000X 21 Case Manager 215 MH Case Management - administrative 251B00000X Case Management 21 Case Manager 216 Licensed Social Worker - Social Worker Early Intervention 104100000X 21 Case Manager 216 Licensed Social Worker - Early Intervention 252Y00000X Early Intervention Provider Agency 21 Case Manager 218 MR Targeted Case Management 251B00000X Case Management 21 Case Manager 221 MH Targeted Case Mgt Resource Case Management Coordination 251B00000X Case Management 21 Case Manager 222 MH Targeted Case Management Intensive 251B00000X 23 Nutritionist 230 Registered Nutritionist 132700000X Dietary and Nutritional Service Providers Dietary Manager 23 Nutritionist 230 Registered Nutritionist 133N00000X Dietary and Nutritional Service Providers Nutritionist 23 Nutritionist 230 Registered Nutritionist 133V00000X Dietary and Nutritional Service Providers Dietitian Registered 23 Nutritionist 230 Registered Nutritionist 136A00000X Dietary and Nutritional Service Providers Dietetic Technician Registered 23 Nutritionist 230 Registered Nutritionist 193200000X 23 Nutritionist 230 Registered Nutritionist 193400000X 24 Pharmacy 026 Home Infusion Therapy Pharmacy 251E00000X Home Health 24 Pharmacy 240 Independent 333600000X Suppliers Pharmacies 24 Pharmacy 240 Independent 3336C0003X Suppliers Pharmacies Commercial/Retail Pharmacy 24 Pharmacy 240 Independent 3336C0004X Suppliers Pharmacy Compounding Pharmacy 24 Pharmacy 241 Institutional Independent 333600000X Suppliers Pharmacies Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 39 of 64

24 Pharmacy 241 Institutional Independent 3336C0004X Suppliers Pharmacy Compounding Pharmacy 24 Pharmacy 241 Institutional Independent 3336I0012X Suppliers Pharmacies Institutional Pharmacy 24 Pharmacy 242 Chain 333600000X Suppliers Pharmacies 24 Pharmacy 242 Chain 3336C0003X Suppliers Pharmacies Commercial/Retail Pharmacy 24 Pharmacy 242 Chain 3336C0004X Suppliers Pharmacy Compounding Pharmacy 24 Pharmacy 243 Institutional Chain 333600000X Suppliers Pharmacies 24 Pharmacy 243 Institutional Chain 3336I0012X Suppliers Pharmacies Institutional Pharmacy 24 Pharmacy 244 Long Term Care (LTC) 333600000X Suppliers Pharmacies 24 Pharmacy 244 Long Term Care (LTC) 3336L0003X Suppliers Pharmacies Long Term Care Pharmacy 24 Pharmacy 245 Mail Order 333600000X Suppliers Pharmacies 24 Pharmacy 245 Mail Order 3336M0002X Suppliers Pharmacies Mail Order Pharmacy 25 DME/Medical Supplies 220 Hearing Aid Dispenser 332S00000X Suppliers Hearing Aid Equipment 25 DME/Medical Supplies 250 DME/Medical Supplies 332B00000X Suppliers Durable Medical Equipment and Medical Supplies 25 DME/Medical Supplies 250 DME/Medical Supplies 332BC3200X Suppliers Durable Medical Equipment and Medical Supplies Customized Equipment 25 DME/Medical Supplies 250 DME/Medical Supplies 332BD1200X Suppliers Durable Medical Equipment and Medical Supplies Dialysis Equipment and Supplies 25 DME/Medical Supplies 250 DME/Medical Supplies 332BN1400X Suppliers Durable Medical Equipment and Medical Supplies Nursing Facility Supplies 25 DME/Medical Supplies 250 DME/Medical Supplies 332BP3500X Suppliers Durable Medical Equipment and Medical Supplies Parental and Enteral Nutrition 25 DME/Medical Supplies 250 DME/Medical Supplies 332BX2000X Suppliers Durable Medical Equipment and Medical Supplies Oxygen Equipment and Supplies 25 DME/Medical Supplies 251 Prosthetist 224P00000X Suppliers Prosthetist Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 40 of 64

25 DME/Medical Supplies 251 Prosthetist 335E00000X Suppliers Prosthetic/Orthotic Supplier 25 DME/Medical Supplies 252 Orthotist 222X00000X Suppliers Orthotist 25 DME/Medical Supplies 252 Orthotist 335E00000X Suppliers Prosthetic/Orthotic Supplier 25 DME/Medical Supplies 253 Optician 332B00000X Suppliers Durable Medical Equipment and Medical Supplies 26 Transportation 260 Ambulance Basic Life Support 341600000X Transportation Services Ambulance 26 Transportation 260 Ambulance Basic Life Support 3416L0300X Transportation Services Ambulance Land Transport 26 Transportation 261 Ambulance Advanced Life Support 341600000X Transportation Services Ambulance 26 Transportation 261 Ambulance Advanced Life Support 3416L0300X Transportation Services Ambulance Land Transport 26 Transportation 262 Air Ambulance 3416A0800X Transportation Services Ambulance Air Transport 27 270 Endodontist 122300000X 27 270 Endodontist 1223D0001X Dental Public Health 27 270 Endodontist 1223E0200X Endodontics 27 270 Endodontist 1223G0001X General Practice 27 270 Endodontist 1223P0106X Oral and Maxillofacial Pathology 27 270 Endodontist 1223P0221X Pediatric ry 27 270 Endodontist 1223P0300X Periodontics 27 270 Endodontist 1223P0700X Prosthodontics 27 270 Endodontist 1223X0008X Oral and Maxillofacial Radiology 27 270 Endodontist 1223X0400X Orthodontics and Dentofacial Orthopedics Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 41 of 64

27 270 Endodontist 193200000X 27 270 Endodontist 193400000X 27 271 General ry 122300000X 27 271 General ry 1223D0001X Dental Public Health 27 271 General ry 1223E0200X Endodontics 27 271 General ry 1223G0001X General Practice 27 271 General ry 1223P0106X Oral and Maxillofacial Pathology 27 271 General ry 1223P0221X Pediatric ry 27 271 General ry 1223P0300X Periodontics 27 271 General ry 1223P0700X Prosthodontics 27 271 General ry 1223X0008X Oral and Maxillofacial Radiology 27 271 General ry 1223X0400X Orthodontics and Dentofacial Orthopedics 27 271 General ry 193200000X 27 271 General ry 193400000X 27 272 Oral / Maxillofacial Surgeon 122300000X 27 272 Oral / Maxillofacial Surgeon 1223D0001X Dental Public Health 27 272 Oral / Maxillofacial Surgeon 1223E0200X Endodontics 27 272 Oral / Maxillofacial Surgeon 1223G0001X General Practice 27 272 Oral / Maxillofacial Surgeon 1223P0106X Oral and Maxillofacial Pathology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 42 of 64

27 272 Oral / Maxillofacial Surgeon 1223P0221X Pediatric ry 27 272 Oral / Maxillofacial Surgeon 1223P0300X Periodontics 27 272 Oral / Maxillofacial Surgeon 1223P0700X Prosthodontics 27 272 Oral / Maxillofacial Surgeon 1223S02X Oral and Maxillofacial Surgery 27 272 Oral / Maxillofacial Surgeon 1223X0008X Oral and Maxillofacial Radiology 27 272 Oral / Maxillofacial Surgeon 1223X0400X Orthodontics and Dentofacial Orthopedics 27 272 Oral / Maxillofacial Surgeon 193200000X 27 272 Oral / Maxillofacial Surgeon 193400000X 27 273 Orthodontist/Dentofacial Orthopedist 122300000X 27 273 Orthodontist/Dentofacial Orthopedist 1223D0001X Dental Public Health 27 273 Orthodontist/Dentofacial Orthopedist 1223E0200X Endodontics 27 273 Orthodontist/Dentofacial Orthopedist 1223G0001X General Practice 27 273 Orthodontist/Dentofacial Orthopedist 1223P0106X Oral and Maxillofacial Pathology 27 273 Orthodontist/Dentofacial Orthopedist 1223P0221X Pediatric ry 27 273 Orthodontist/Dentofacial Orthopedist 1223P0300X Periodontics 27 273 Orthodontist/Dentofacial Orthopedist 1223P0700X Prosthodontics 27 273 Orthodontist/Dentofacial Orthopedist 1223X0008X Oral and Maxillofacial Radiology 27 273 Orthodontist/Dentofacial Orthopedist 193200000X 27 273 Orthodontist/Dentofacial Orthopedist 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 43 of 64

27 274 Pediatric 122300000X 27 274 Pediatric 1223D0001X Dental Public Health 27 274 Pediatric 1223E0200X Endodontics 27 274 Pediatric 1223G0001X General Practice 27 274 Pediatric 1223P0106X Oral and Maxillofacial Pathology 27 274 Pediatric 1223P0221X Pediatric ry 27 274 Pediatric 1223P0300X Periodontics 27 274 Pediatric 1223P0700X Prosthodontics 27 274 Pediatric 1223X0008X Oral and Maxillofacial Radiology 27 274 Pediatric 1223X0400X Orthodontics and Dentofacial Orthopedics 27 274 Pediatric 193200000X 27 274 Pediatric 193400000X 27 275 Periodontist 122300000X 27 275 Periodontist 1223D0001X Dental Public Health 27 275 Periodontist 1223E0200X Endodontics 27 275 Periodontist 1223G0001X General Practice 27 275 Periodontist 1223P0106X Oral and Maxillofacial Pathology 27 275 Periodontist 1223P0221X Pediatric ry 27 275 Periodontist 1223P0300X Periodontics Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 44 of 64

27 275 Periodontist 1223P0700X Prosthodontics 27 275 Periodontist 1223X0008X Oral and Maxillofacial Radiology 27 275 Periodontist 1223X0400X Orthodontics and Dentofacial Orthopedics 27 275 Periodontist 193200000X 27 275 Periodontist 193400000X 27 276 Oral Pathologist 122300000X 27 276 Oral Pathologist 1223D0001X Dental Public Health 27 276 Oral Pathologist 1223E0200X Endodontics 27 276 Oral Pathologist 1223G0001X General Practice 27 276 Oral Pathologist 1223P0106X Oral and Maxillofacial Pathology 27 276 Oral Pathologist 1223P0221X Pediatric ry 27 276 Oral Pathologist 1223P0300X Periodontics 27 276 Oral Pathologist 1223P0700X Prosthodontics 27 276 Oral Pathologist 1223X0008X Oral and Maxillofacial Radiology 27 276 Oral Pathologist 1223X0400X Orthodontics and Dentofacial Orthopedics 27 276 Oral Pathologist 193200000X 27 276 Oral Pathologist 193400000X 27 277 Prosthodontist 122300000X 27 277 Prosthodontist 1223D0001X Dental Public Health Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 45 of 64

27 277 Prosthodontist 1223E0200X Endodontics 27 277 Prosthodontist 1223G0001X General Practice 27 277 Prosthodontist 1223P0106X Oral and Maxillofacial Pathology 27 277 Prosthodontist 1223P0221X Pediatric ry 27 277 Prosthodontist 1223P0300X Periodontics 27 277 Prosthodontist 1223P0700X Prosthodontics 27 277 Prosthodontist 1223X0008X Oral and Maxillofacial Radiology 27 277 Prosthodontist 1223X0400X Orthodontics and Dentofacial Orthopedics 27 277 Prosthodontist 193200000X 27 277 Prosthodontist 193400000X 27 278 Oral / Maxillofacial Pathologist 122300000X 27 278 Oral / Maxillofacial Pathologist 1223D0001X Dental Public Health 27 278 Oral / Maxillofacial Pathologist 1223E0200X Endodontics 27 278 Oral / Maxillofacial Pathologist 1223G0001X General Practice 27 278 Oral / Maxillofacial Pathologist 1223P0106X Oral and Maxillofacial Pathology 27 278 Oral / Maxillofacial Pathologist 1223P0221X Pediatric ry 27 278 Oral / Maxillofacial Pathologist 1223P0300X Periodontics 27 278 Oral / Maxillofacial Pathologist 1223P0700X Prosthodontics 27 278 Oral / Maxillofacial Pathologist 1223X0008X Oral and Maxillofacial Radiology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 46 of 64

27 278 Oral / Maxillofacial Pathologist 1223X0400X Orthodontics and Dentofacial Orthopedics 27 278 Oral / Maxillofacial Pathologist 193200000X 27 278 Oral / Maxillofacial Pathologist 193400000X 27 279 Oral / Maxillofacial Radiologist 122300000X 27 279 Oral / Maxillofacial Radiologist 1223D0001X Dental Public Health 27 279 Oral / Maxillofacial Radiologist 1223E0200X Endodontics 27 279 Oral / Maxillofacial Radiologist 1223G0001X General Practice 27 279 Oral / Maxillofacial Radiologist 1223P0106X Oral and Maxillofacial Pathology 27 279 Oral / Maxillofacial Radiologist 1223P0221X Pediatric ry 27 279 Oral / Maxillofacial Radiologist 1223P0300X Periodontics 27 279 Oral / Maxillofacial Radiologist 1223P0700X Prosthodontics 27 279 Oral / Maxillofacial Radiologist 1223X0008X Oral and Maxillofacial Radiology 27 279 Oral / Maxillofacial Radiologist 1223X0400X Orthodontics and Dentofacial Orthopedics 27 279 Oral / Maxillofacial Radiologist 193200000X 27 279 Oral / Maxillofacial Radiologist 193400000X 27 282 Dental Public Health 122300000X 27 282 Dental Public Health 1223D0001X Dental Public Health 27 282 Dental Public Health 1223E0200X Endodontics 27 282 Dental Public Health 1223G0001X General Practice Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 47 of 64

27 282 Dental Public Health 1223P0106X Oral and Maxillofacial Pathology 27 282 Dental Public Health 1223P0221X Pediatric ry 27 282 Dental Public Health 1223P0300X Periodontics 27 282 Dental Public Health 1223P0700X Prosthodontics 27 282 Dental Public Health 1223X0008X Oral and Maxillofacial Radiology 27 282 Dental Public Health 1223X0400X Orthodontics and Dentofacial Orthopedics 27 282 Dental Public Health 193200000X 27 282 Dental Public Health 193400000X 28 Laboratory 280 Independent Laboratory 291U00000X Laboratories Clinical Medical Laboratory 29 X-Ray Clinic 291 Mobile X-Ray Clinic 261QR0207X Radiology Mobile Mammography 29 X-Ray Clinic 291 Mobile X-Ray Clinic 261QR0208X Radiology Mobile 30 Renal Dialysis Center 300 Renal Dialysis Center 261QE0700X End Stage Renal Disease (ESRD) Treatment 31 Physician 310 Allergy and Immunology 193200000X 31 Physician 310 Allergy and Immunology 193400000X 31 Physician 310 Allergy and Immunology 202K00000X Phlebology 31 Physician 310 Allergy and Immunology 207K00000X Allergy and Immunology 31 Physician 310 Allergy and Immunology 207KA0200X Allergy and Immunology Allergy 31 Physician 310 Allergy and Immunology 207KI0005X Allergy and Immunology Clinical and Laboratory 31 Physician 3 Anesthesiology 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 48 of 64

31 Physician 3 Anesthesiology 193400000X 31 Physician 3 Anesthesiology 202K00000X Phlebology 31 Physician 3 Anesthesiology 207L00000X Anesthesiology 31 Physician 3 Anesthesiology 207LA0401X Anesthesiology Addiction Medicine 31 Physician 3 Anesthesiology 207LC0200X Anesthesiology Critical Care Medicine 31 Physician 3 Anesthesiology 207LH0002X Anesthesiology Hospice and Palliative Medicine 31 Physician 3 Anesthesiology 207LP2900X Anesthesiology Pain Medicine 31 Physician 3 Anesthesiology 207LP3000X Anesthesiology Pediatric Anesthesiology 31 Physician 314 Dermatology 193200000X 31 Physician 314 Dermatology 193400000X 31 Physician 314 Dermatology 202K00000X Phlebology 31 Physician 314 Dermatology 207N00000X Dermatology 31 Physician 314 Dermatology 207ND0101X Dermatology MOHS Micrographic Surgery 31 Physician 314 Dermatology 207ND00X Dermatology Dermatopathology 31 Physician 314 Dermatology 207NI0002X Dermatology Clinical and Laboratory Dermatological Immunology 31 Physician 314 Dermatology 207NP0225X Dermatology Pediatric Dermatology 31 Physician 314 Dermatology 207NS0135X Dermatology Procedural Dermatology 31 Physician 315 Emergency Medicine 193200000X 31 Physician 315 Emergency Medicine 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 49 of 64

31 Physician 315 Emergency Medicine 202K00000X Phlebology 31 Physician 315 Emergency Medicine 207P00000X Emergency Medicine 31 Physician 315 Emergency Medicine 207PE0004X Emergency Medicine Emergency Medical Services 31 Physician 315 Emergency Medicine 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine 31 Physician 315 Emergency Medicine 207PH0002X Emergency Medicine Hospice and Palliative Medicine 31 Physician 315 Emergency Medicine 207PP0204X Emergency Medicine Pediatric Emergency Medicine 31 Physician 315 Emergency Medicine 207PS0010X Emergency Medicine Sports Medicine 31 Physician 315 Emergency Medicine 207PT0002X Emergency Medicine Medical Toxicology 31 Physician 316 Family Practice 193200000X 31 Physician 316 Family Practice 193400000X 31 Physician 316 Family Practice 202K00000X Phlebology 31 Physician 316 Family Practice 204C00000X Neuromusculoskeletal Medicine Sports Medicine 31 Physician 316 Family Practice 204D00000X Neuromusculoskeletal Medicine and OMM 31 Physician 316 Family Practice 207Q00000X Family Medicine 31 Physician 316 Family Practice 207QA0000X Family Medicine Adolescent Medicine 31 Physician 316 Family Practice 207QA0401X Family Medicine Addiction Medicine 31 Physician 316 Family Practice 207QA0505X Family Medicine Adult Medicine 31 Physician 316 Family Practice 207QB0002X Family Medicine Bariatric Medicine 31 Physician 316 Family Practice 207QG0300X Family Medicine Geriatric Medicine Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 50 of 64

31 Physician 316 Family Practice 207QH0002X Family Medicine Hospice and Palliative Medicine 31 Physician 316 Family Practice 207QS0010X Family Medicine Sports Medicine 31 Physician 316 Family Practice 207QS1201X Family Medicine Sleep Medicine 31 Physician 318 General Practitioner 193200000X 31 Physician 318 General Practitioner 193400000X 31 Physician 318 General Practitioner 202K00000X Phlebology 31 Physician 318 General Practitioner 207QS1201X Family Medicine Sleep Medicine 31 Physician 318 General Practitioner 208D00000X General Practice 31 Physician 319 Surgery 193200000X 31 Physician 319 Surgery 193400000X 31 Physician 319 Surgery 202K00000X Phlebology 31 Physician 319 Surgery 204F00000X Transplant Surgery 31 Physician 319 Surgery 207ND0101X Dermatology MOHS Micrographic Surgery 31 Physician 319 Surgery 207NS0135X Dermatology Procedural Dermatology 31 Physician 319 Surgery 207T00000X Neurological Surgery 31 Physician 319 Surgery 208600000X Surgery 31 Physician 319 Surgery 2086H0002X Surgery Hospice and Palliative Medicine 31 Physician 319 Surgery 2086S0102X Surgery Surgical Critical Care 31 Physician 319 Surgery 2086S0105X Surgery Surgery of the Hand Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 51 of 64

31 Physician 319 Surgery 2086S0120X Surgery Pediatric Surgery 31 Physician 319 Surgery 2086S0127X Surgery Trauma Surgery 31 Physician 319 Surgery 2086S0129X Surgery Vascular Surgery 31 Physician 319 Surgery 2086X0206X Surgery Surgical Oncology 31 Physician 319 Surgery 208C00000X Colon and Rectal Surgery 31 Physician 319 Surgery 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 31 Physician 322 Internal Medicine 193200000X 31 Physician 322 Internal Medicine 193400000X 31 Physician 322 Internal Medicine 202K00000X Phlebology 31 Physician 322 Internal Medicine 207R00000X Internal Medicine 31 Physician 322 Internal Medicine 207RA0000X Internal Medicine Adolescent Medicine 31 Physician 322 Internal Medicine 207RA0201X Internal Medicine Allergy and Immunology 31 Physician 322 Internal Medicine 207RA0401X Internal Medicine Addiction Medicine 31 Physician 322 Internal Medicine 207RB0002X Internal Medicine Bariatric Medicine 31 Physician 322 Internal Medicine 207RC0000X Internal Medicine Cardiovascular Disease 31 Physician 322 Internal Medicine 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology 31 Physician 322 Internal Medicine 207RC0200X Internal Medicine Critical Care Medicine 31 Physician 322 Internal Medicine 207RE0101X Internal Medicine Endocrinology Diabetes and Metabolism 31 Physician 322 Internal Medicine 207RG0100X Internal Medicine Gastroenterology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 52 of 64

31 Physician 322 Internal Medicine 207RG0300X Internal Medicine Geriatric Medicine 31 Physician 322 Internal Medicine 207RH0000X Internal Medicine Hematology 31 Physician 322 Internal Medicine 207RH0002X Internal Medicine Hospice and Palliative Medicine 31 Physician 322 Internal Medicine 207RH0003X Internal Medicine Hematology and Oncology 31 Physician 322 Internal Medicine 207RI0001X Internal Medicine Clinical and Laboratory Immunology 31 Physician 322 Internal Medicine 207RI0008X Internal Medicine Hepatology 31 Physician 322 Internal Medicine 207RI00X Internal Medicine Interventional Cardiology 31 Physician 322 Internal Medicine 207RI0200X Internal Medicine Infectious Disease 31 Physician 322 Internal Medicine 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) 31 Physician 322 Internal Medicine 207RN0300X Internal Medicine Nephrology 31 Physician 322 Internal Medicine 207RP1001X Internal Medicine Pulmonary Disease 31 Physician 322 Internal Medicine 207RR0500X Internal Medicine Rheumatology 31 Physician 322 Internal Medicine 207RS0010X Internal Medicine Sports Medicine 31 Physician 322 Internal Medicine 207RS0012X Internal Medicine Sleep Medicine 31 Physician 322 Internal Medicine 207RT0003X Internal Medicine Transplant Hepatology 31 Physician 322 Internal Medicine 207RX0202X Internal Medicine Medical Oncology 31 Physician 328 Obstetrics and Gynecology 193200000X 31 Physician 328 Obstetrics and Gynecology 193400000X 31 Physician 328 Obstetrics and Gynecology 202K00000X Phlebology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 53 of 64

31 Physician 328 Obstetrics and Gynecology 207V00000X Obstetrics and Gynecology 31 Physician 328 Obstetrics and Gynecology 207VB0002X Obstetrics and Gynecology Bariatric Medicine 31 Physician 328 Obstetrics and Gynecology 207VC0200X Obstetrics and Gynecology Critical Care Medicine 31 Physician 328 Obstetrics and Gynecology 207VE0102X Obstetrics and Gynecology Reproductive Endocrinology 31 Physician 328 Obstetrics and Gynecology 207VG0400X Obstetrics and Gynecology Gynecology 31 Physician 328 Obstetrics and Gynecology 207VH0002X Obstetrics and Gynecology Hospice and Palliative Medicine 31 Physician 328 Obstetrics and Gynecology 207VM0101X Obstetrics and Gynecology Maternal and Fetal Medicine 31 Physician 328 Obstetrics and Gynecology 207VX0000X Obstetrics and Gynecology Obstetrics 31 Physician 328 Obstetrics and Gynecology 207VX0201X Obstetrics and Gynecology Gynecologic Oncology 31 Physician 330 Ophthalmologist 193200000X 31 Physician 330 Ophthalmologist 193400000X 31 Physician 330 Ophthalmologist 202K00000X Phlebology 31 Physician 330 Ophthalmologist 207W00000X Ophthalmology 31 Physician 331 Orthopaedic Surgery 193200000X 31 Physician 331 Orthopaedic Surgery 193400000X 31 Physician 331 Orthopaedic Surgery 202K00000X Phlebology 31 Physician 331 Orthopaedic Surgery 207X00000X Orthopaedic Surgery 31 Physician 331 Orthopaedic Surgery 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery 31 Physician 331 Orthopaedic Surgery 207XS0106X Orthopaedic Surgery Hand Surgery Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 54 of 64

31 Physician 331 Orthopaedic Surgery 207XS04X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery 31 Physician 331 Orthopaedic Surgery 207XS07X Orthopaedic Surgery Orthopaedic Surgery of the Spine 31 Physician 331 Orthopaedic Surgery 207XX0004X Orthopaedic Surgery Foot and Ankle Orthopaedics 31 Physician 331 Orthopaedic Surgery 207XX0005X Orthopaedic Surgery Sports Medicine 31 Physician 331 Orthopaedic Surgery 207XX0801X Orthopaedic Surgery Orthopaedic Trauma 31 Physician 331 Orthopaedic Surgery 2086H0002X Surgery Hospice and Palliative Medicine 31 Physician 332 Otolaryngology 193200000X 31 Physician 332 Otolaryngology 193400000X 31 Physician 332 Otolaryngology 202K00000X Phlebology 31 Physician 332 Otolaryngology 207Y00000X Otolaryngology 31 Physician 332 Otolaryngology 207YP0228X Otolaryngology Pediatric Otolaryngology 31 Physician 332 Otolaryngology 207YS0012X Otolaryngology Sleep Medicine 31 Physician 332 Otolaryngology 207YS0123X Otolaryngology Facial Plastic Surgery 31 Physician 332 Otolaryngology 207YX0007X Otolaryngology Plastic Surgery within the Head and Neck 31 Physician 332 Otolaryngology 207YX0602X Otolaryngology Otolaryngic Allergy 31 Physician 332 Otolaryngology 207YX01X Otolaryngology Otology and Neurotology 31 Physician 332 Otolaryngology 207YX05X Otolaryngology Otolaryngology/Facial Plastic Surgery 31 Physician 333 Pathology 193200000X 31 Physician 333 Pathology 193400000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 55 of 64

31 Physician 333 Pathology 202K00000X Phlebology 31 Physician 333 Pathology 207SC0300X Medical Genetics Clinical Cytogenetics 31 Physician 333 Pathology 207SG0201X Medical Genetics Clinical Genetics (MD) 31 Physician 333 Pathology 207SG0202X Medical Genetics Clinical Biochemical Genetics 31 Physician 333 Pathology 207SG0203X Medical Genetics Clinical Molecular Genetics 31 Physician 333 Pathology 207SM0001X Medical Genetics Molecular Genetic Pathology 31 Physician 333 Pathology 207ZB0001X Pathology Blood Banking and Transfusion Medicine 31 Physician 333 Pathology 207ZC0006X Pathology Clinical Pathology 31 Physician 333 Pathology 207ZC0500X Pathology Cytopathology 31 Physician 333 Pathology 207ZD00X Pathology Dermatopathology 31 Physician 333 Pathology 207ZF0201X Pathology Forensic Pathology 31 Physician 333 Pathology 207ZH0000X Pathology Hematology 31 Physician 333 Pathology 207ZI0100X Pathology Immunopathology 31 Physician 333 Pathology 207ZM0300X Pathology Medical Microbiology 31 Physician 333 Pathology 207ZN0500X Pathology Neuropathology 31 Physician 333 Pathology 207ZP0007X Pathology Molecular Genetic Pathology 31 Physician 333 Pathology 207ZP0101X Pathology Anatomic Pathology 31 Physician 333 Pathology 207ZP0102X Pathology Anatomic Pathology and Clinical Pathology 31 Physician 333 Pathology 207ZP0104X Pathology Chemical Pathology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 56 of 64

31 Physician 333 Pathology 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine 31 Physician 333 Pathology 207ZP0213X Pathology Pediatric Pathology 31 Physician 336 Physical Medicine and Rehabilitation 193200000X 31 Physician 336 Physical Medicine and Rehabilitation 193400000X 31 Physician 336 Physical Medicine and Rehabilitation 202K00000X Phlebology 31 Physician 336 Physical Medicine and Rehabilitation 208100000X Physical Medicine and Rehabilitation 31 Physician 336 Physical Medicine and Rehabilitation 2081H0002X Physical Medicine and Rehabilitation Hospice and Palliative Medicine 31 Physician 336 Physical Medicine and Rehabilitation 2081N0008X Physical Medicine and Rehabilitation Neuromuscular Medicine 31 Physician 336 Physical Medicine and Rehabilitation 2081P0004X Physical Medicine and Rehabilitation Spinal Cord Injury Medicine 31 Physician 336 Physical Medicine and Rehabilitation 2081P0010X Physical Medicine and Rehabilitation Pediatric Rehabilitation Medicine 31 Physician 336 Physical Medicine and Rehabilitation 2081P2900X Physical Medicine and Rehabilitation Pain Medicine 31 Physician 336 Physical Medicine and Rehabilitation 2081S0010X Physical Medicine and Rehabilitation Sports Medicine 31 Physician 337 Plastic Surgery 193200000X 31 Physician 337 Plastic Surgery 193400000X 31 Physician 337 Plastic Surgery 202K00000X Phlebology 31 Physician 337 Plastic Surgery 207ND0101X Dermatology MOHS Micrographic Surgery 31 Physician 337 Plastic Surgery 207NS0135X Dermatology Procedural Dermatology 31 Physician 337 Plastic Surgery 208200000X Plastic Surgery 31 Physician 337 Plastic Surgery 2082S09X Plastic Surgery Plastic Surgery Within The Head and Neck Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 57 of 64

31 Physician 337 Plastic Surgery 2082S0105X Plastic Surgery Surgery of the hand 31 Physician 337 Plastic Surgery 2086H0002X Surgery Hospice and Palliative Medicine 31 Physician 337 Plastic Surgery 2086S0122X Surgery Plastic and Reconstructive Surgery 31 Physician 338 Neurology 193200000X 31 Physician 338 Neurology 193400000X 31 Physician 338 Neurology 2084B0002X Psychiatry and Neurology Bariatric Medicine 31 Physician 338 Neurology 2084D0003X Psychiatry and Neurology Diagnostic Neuroimaging 31 Physician 338 Neurology 2084H0002X Psychiatry and Neurology Hospice and Palliative Medicine 31 Physician 338 Neurology 2084N0008X Psychiatry and Neurology Neuromuscular Medicine 31 Physician 338 Neurology 2084N0400X Psychiatry and Neurology Neurology 31 Physician 338 Neurology 2084N0402X Psychiatry and Neurology Neurology with Special Qualification in Child Neurology 31 Physician 338 Neurology 2084N0600X Psychiatry and Neurology Clinical Neurophysiology 31 Physician 338 Neurology 2084P0005X Psychiatry and Neurology Neurodevelopmental Disabilities 31 Physician 338 Neurology 2084P2900X Psychiatry and Neurology Pain Medicine 31 Physician 338 Neurology 2084S0010X Psychiatry and Neurology Sports Medicine 31 Physician 338 Neurology 2084V0102X Psychiatry and Neurology Vascular Neurology 31 Physician 338 Neurology 2085D0003X Radiology Diagnostic Neuroimaging 31 Physician 339 Psychiatry 102L00000X Psychoanalyst 31 Physician 339 Psychiatry 193200000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 58 of 64

31 Physician 339 Psychiatry 193400000X 31 Physician 339 Psychiatry 2084A0401X Psychiatry and Neurology Addiction Medicine 31 Physician 339 Psychiatry 2084F0202X Psychiatry and Neurology Forensic Psychiatry 31 Physician 339 Psychiatry 2084H0002X Psychiatry and Neurology Hospice and Palliative Medicine 31 Physician 339 Psychiatry 2084P0015X Psychiatry and Neurology Psychosomatic Medicine 31 Physician 339 Psychiatry 2084P0800X Psychiatry and Neurology Psychiatry 31 Physician 339 Psychiatry 2084P0802X Psychiatry and Neurology Addiction Psychiatry 31 Physician 339 Psychiatry 2084P0804X Psychiatry and Neurology Child and Adolescent Psychiatry 31 Physician 339 Psychiatry 2084P0805X Psychiatry and Neurology Geriatric Psychiatry 31 Physician 339 Psychiatry 2084P2900X Psychiatry and Neurology Pain Medicine 31 Physician 339 Psychiatry 2084S0010X Psychiatry and Neurology Sports Medicine 31 Physician 341 Radiology 193200000X 31 Physician 341 Radiology 193400000X 31 Physician 341 Radiology 202K00000X Phlebology 31 Physician 341 Radiology 207U00000X Nuclear Medicine 31 Physician 341 Radiology 207UN01X Nuclear Medicine Nuclear Cardiology 31 Physician 341 Radiology 207UN02X Nuclear Medicine Nuclear Imaging and Therapy 31 Physician 341 Radiology 207UN03X Nuclear Medicine In Vivo and In Vitro Nuclear Medicine 31 Physician 341 Radiology 2085B0100X Radiology Body Imaging Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 59 of 64

31 Physician 341 Radiology 2085D0003X Radiology Diagnostic Neuroimaging 31 Physician 341 Radiology 2085H0002X Radiology Hospice and Palliative Medicine 31 Physician 341 Radiology 2085N0700X Radiology Neuroradiology 31 Physician 341 Radiology 2085N04X Radiology Nuclear Radiology 31 Physician 341 Radiology 2085P0229X Radiology Pediatric Radiology 31 Physician 341 Radiology 2085R0001X Radiology Radiation Oncology 31 Physician 341 Radiology 2085R0202X Radiology Diagnostic Radiology 31 Physician 341 Radiology 2085R0203X Radiology Therapeutic Radiology 31 Physician 341 Radiology 2085R0204X Radiology Vascular and Interventional Radiology 31 Physician 341 Radiology 2085R0205X Radiology Radiological Physics 31 Physician 341 Radiology 2085U0001X Radiology Diagnostic Ultrasound 31 Physician 342 Preventive Medicine 193200000X 31 Physician 342 Preventive Medicine 193400000X 31 Physician 342 Preventive Medicine 202K00000X Phlebology 31 Physician 342 Preventive Medicine 2083A0100X Preventative Medicine Aerospace Medicine 31 Physician 342 Preventive Medicine 2083P00X Preventative Medicine Undersea and Hyper baric Medicine 31 Physician 342 Preventive Medicine 2083P0500X Preventative Medicine Preventive Medicine/Occupational Environmental-Medicine 31 Physician 342 Preventive Medicine 2083P01X Preventative Medicine Public Health and General Preventive Medicine 31 Physician 342 Preventive Medicine 2083SD010X Preventative Medicine Sports Medicine Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 60 of 64

31 Physician 342 Preventive Medicine 2083T0002X Preventative Medicine Medical Toxicology 31 Physician 342 Preventive Medicine 2083X0100X Preventative Medicine Occupational Medicine 31 Physician 342 Preventive Medicine 208VP0000X Pain Medicine Pain Medicine 31 Physician 342 Preventive Medicine 208VP0014X Pain Medicine Interventional Pain Medicine 31 Physician 343 Urologist 193200000X 31 Physician 343 Urologist 193400000X 31 Physician 343 Urologist 202K00000X Phlebology 31 Physician 343 Urologist 208800000X Urology 31 Physician 343 Urologist 2088P0231X Urology Pediatric Urology 31 Physician 345 Pediatrics 193200000X 31 Physician 345 Pediatrics 193400000X 31 Physician 345 Pediatrics 202K00000X Phlebology 31 Physician 345 Pediatrics 208000000X Pediatrics 31 Physician 345 Pediatrics 2080A0000X Pediatrics Adolescent Medicine 31 Physician 345 Pediatrics 2080H0002X Pediatrics Hospice and Palliative Medicine 31 Physician 345 Pediatrics 2080I0007X Pediatrics Clinical and Laboratory Immunology 31 Physician 345 Pediatrics 2080N0001X Pediatrics Neonatal-Prenatal Medicine 31 Physician 345 Pediatrics 2080P0006X Pediatrics Developmental - Behavioral Pediatrics 31 Physician 345 Pediatrics 2080P0008X Pediatrics Neurodevelopmental disabilities Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 61 of 64

31 Physician 345 Pediatrics 2080P0201X Pediatrics Pediatric Allergy and Immunology 31 Physician 345 Pediatrics 2080P0202X Pediatrics Pediatric Cardiology 31 Physician 345 Pediatrics 2080P0203X Pediatrics Pediatric Critical Care Medicine 31 Physician 345 Pediatrics 2080P0204X Pediatrics Pediatric Emergency Medicine 31 Physician 345 Pediatrics 2080P0205X Pediatrics Pediatric Endocrinology 31 Physician 345 Pediatrics 2080P0206X Pediatrics Pediatric Gastroenterology 31 Physician 345 Pediatrics 2080P0207X Pediatrics Pediatric Hematology-Oncology 31 Physician 345 Pediatrics 2080P0208X Pediatrics Pediatric Infectious Diseases 31 Physician 345 Pediatrics 2080P0210X Pediatrics Pediatric Nephrology 31 Physician 345 Pediatrics 2080P0214X Pediatrics Pediatric Pulmonology 31 Physician 345 Pediatrics 2080P2016X Pediatrics Pediatric Rheumatology 31 Physician 345 Pediatrics 2080S0010X Pediatrics Sports Medicine 31 Physician 345 Pediatrics 2080S0012X Pediatrics Sleep Medicine 31 Physician 345 Pediatrics 2080T0002X Pediatrics Medical Toxicology 31 Physician 345 Pediatrics 2080T0004X Pediatrics Pediatric Transplant Hepatology 31 Physician 347 Radiation Therapist 193200000X 31 Physician 347 Radiation Therapist 193400000X 31 Physician 347 Radiation Therapist 202K00000X Phlebology 31 Physician 347 Radiation Therapist 2085R0203X Radiology Therapeutic Radiology Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 62 of 64

31 Physician 426 Autism Certified Psychiatrist 2084P0800X Psychiatry and Neurology Psychiatry 32 Nurse Anesthetist 320 Nurse Anesthetist 193200000X 32 Nurse Anesthetist 320 Nurse Anesthetist 193400000X 32 Nurse Anesthetist Nurse Anesthetist 320 Nurse Anesthetist 367500000X 33 Certified Nurse Midwife 335 Certified Nurse Midwife 193200000X 33 Certified Nurse Midwife 335 Certified Nurse Midwife 193400000X 33 Certified Nurse Midwife 335 Certified Nurse Midwife 367A00000X Advanced Practice Midwife Local Education Agency 35 Public Schools 350 Public School 251300000X 37 Tobacco Cessation 370 Tobacco Cessation 101YA0400X Counselor Addiction (Substance Use Disorder) 40 Medically Fragile Nursing Care Foster Care 400 Medically Fragile Foster Care 251J00000X 40 Medically Fragile Foster Care Agency Foster Care 400 Medically Fragile Foster Care 253J00000X 47 Birthing Center 470 Birthing Center 261QB0400X Birthing 52 Community Residential Public Health or Welfare Rehabilitation 456 CRR - Adult 251K00000X 52 Community Residential Community/Behavioral Health Rehabilitation 456 CRR - Adult 251S00000X 52 Community Residential Rehabilitation 456 CRR - Adult 261QM0801X Mental Health (including Community Mental Health Center) 52 Community Residential Rehabilitation 456 CRR - Adult 261QM0850X Adult Mental Health Residential Treatment Facilities 52 Community Residential Community Based Residential Treatment Facility Mental Illness Rehabilitation 456 CRR - Adult 320800000X Residential Treatment Facilities 52 Community Residential Psychiatric Residential Treatment Facility Rehabilitation 456 CRR - Adult 323P00000X 52 Community Residential Child & Youth Lic Grp Home W MNTL Public Health or Welfare Rehabilitation 520 HLTH trtment Comp 251K00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 63 of 64

52 52 52 52 52 52 52 52 52 56 56 56 Community Residential Rehabilitation 520 Community Residential Rehabilitation 520 Community Residential Rehabilitation 520 Community Residential Rehabilitation 520 Child & Youth Lic Grp Home W MNTL HLTH trtment Comp Child & Youth Lic Grp Home W MNTL HLTH trtment Comp Child & Youth Lic Grp Home W MNTL HLTH trtment Comp Child and Youth Lic Grp Home W MNTL HLTH trtment Comp Community Residential Rehabilitation 523 Host Home / Children 251K00000X Community Residential Rehabilitation 523 Host Home / Children 251S00000X Community Residential Rehabilitation 523 Host Home / Children 253J00000X Community Residential Rehabilitation 523 Host Home / Children 261QM0801X Community Residential Rehabilitation 523 Host Home / Children 261QM0855X Residential Treatment Facility 560 Residential Treatment Facility 560 Residential Treatment Facility 560 Residential Trtmt Facility (Non-JCAHO Certified) Residential Trtmt Facility (Non-JCAHO Certified) Residential Trtmt Facility (Non-JCAHO Certified) Community/Behavioral Health 251S00000X 261QM0801X Mental Health (including Community Mental Health Center) 261QM0855X Adolescent and Children Mental health Residential Treatment Facilities Residential Treatment Facility Emotionally Disturbed Children 322D00000X Public Health or Welfare Community/Behavioral Health Foster Care Agency Mental Health (including Community Mental Health Center) Adolescent and Children Mental health Residential Treatment Facilities Community Based Residential Treatment Facility Mental Illness 320800000X Residential Treatment Facilities Community Based Residential Treatment Facility Mental Retardation and/or Developmental Disabilities 3200000X Residential Treatment Facilities Residential Treatment Facility Emotionally Disturbed Children 322D00000X Updated 3/23/20 NUCC taxonomies used by the Pa. Dept. of Public Welfare as of 1/1/20 64 of 64