awacke1/AllUSPhysiciansNPIbyStateandCountry huggingface dataset:
Code: 163W00000X
Display Name: Registered Nurse
Section: Individual
Grouping: Nursing Service Providers
Classification: Registered Nurse
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.
Code: 163WR0006X
Display Name: Registered Nurse First Assistant
Section: Individual
Grouping: Nursing Service Providers
Classification: Registered Nurse
Specialization: Registered Nurse First Assistant
Definition: A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes.  The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice.  Intraoperatively, the RNFA assists the surgeon.
Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new]
Code: 372600000X
Display Name: Adult Companion
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Adult Companion
Definition: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult.  Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services.  These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]
Code: 372500000X
Display Name: Chore Provider
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Chore Provider
Definition: An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities.  These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Notes: [7/1/2003: new]
Code: 374J00000X
Display Name: Doula
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Doula
Definition: Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: new]
Code: 374U00000X
Display Name: Home Health Aide
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Home Health Aide
Definition: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.
Code: 376J00000X
Display Name: Homemaker
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Homemaker
Definition: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself.  Homemakers must meet the state defined training standards.
Notes: [7/1/2003: definition added]
Code: 376K00000X
Display Name: Nurse's Aide
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Nurse's Aide
Definition: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.
Code: 376G00000X
Display Name: Nursing Home Administrator
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Nursing Home Administrator
Definition: An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.
Code: 374T00000X
Display Name: Religious Nonmedical Nursing Personnel
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Religious Nonmedical Nursing Personnel
Definition: Religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients.  For example, caring for the physical needs such as assistance with activities of daily living; assistance with moving, positioning, and ambulation; nutritional needs; and comfort and support measures.
Notes: Source: Centers for Medicare & Medicaid Services [7/1/2009: title modified, definition modified] Additional Resources: www.cms.hhs.gov/CertificationandComplianc/19_RNHCIs.asp 2005 Code of Federal Regulations, Title 42, Chapter IV, Part 403, Subpart G, 403.702 Definitions and Terms
Code: 374K00000X
Display Name: Religious Nonmedical Practitioner
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Religious Nonmedical Practitioner
Definition: A religious nonmedical practitioner offers spiritually-based care.  Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
Notes: Source: National Uniform Claim Committee , 2009 [7/1/2009: new]
Code: 374700000X
Display Name: Technician
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Technician
Definition: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
Notes: Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland's Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster's II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 776.
Code: 3747A0650X
Display Name: Attendant Care Provider
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Technician
Specialization: Attendant Care Provider
Definition: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual.  Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function.  This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]
Code: 3747P1801X
Display Name: Personal Care Attendant
Section: Individual
Grouping: Nursing Service Related Providers
Classification: Technician
Specialization: Personal Care Attendant
Definition: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care.  Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided.  Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]
Code: 171M00000X
Display Name: Case Manager/Care Coordinator
Section: Individual
Grouping: Other Service Providers
Classification: Case Manager/Care Coordinator
Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services.  The person has the ability to provide an assessment and review of completed plan of care on a periodic basis.  This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care.  Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials.  Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]
Code: 174V00000X
Display Name: Clinical Ethicist
Section: Individual
Grouping: Other Service Providers
Classification: Clinical Ethicist
Definition: A clinical ethicist has been trained in bioethics and ethics case consultation.  The clinical ethicist addresses medical-ethical dilemmas arising in clinical practice, such as end-of-life care, refusal of treatment, and futility of care; assists patients and health care providers with medical decision-making; and provides ethics education for patients and families.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]
Code: 172V00000X
Display Name: Community Health Worker
Section: Individual
Grouping: Other Service Providers
Classification: Community Health Worker
Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening.  Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services - National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/
Code: 171W00000X
Display Name: Contractor
Section: Individual
Grouping: Other Service Providers
Classification: Contractor
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308
Code: 176P00000X
Display Name: Funeral Director
Section: Individual
Grouping: Other Service Providers
Classification: Funeral Director
Definition: A person, usually an embalmer, whose business is to arrange for the burial or cremation of the dead and to assist at the funeral rites.
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323
Code: 170300000X
Display Name: Genetic Counselor (M.S.)
Section: Individual
Grouping: Other Service Providers
Classification: Genetic Counselor, MS
Definition: A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]
Code: 171400000X
Display Name: Health & Wellness Coach
Section: Individual
Grouping: Other Service Providers
Classification: Health & Wellness Coach
Definition: The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Notes: Source: National Board for Health & Wellness Coaching, www.nbhwc.org [1/1/2021: new]
Code: 174H00000X
Display Name: Health Educator
Section: Individual
Grouping: Other Service Providers
Classification: Health Educator
Definition: Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems.  Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: new]
Code: 175L00000X
Display Name: Homeopath
Section: Individual
Grouping: Other Service Providers
Classification: Homeopath
Definition: A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses.
Notes: Source: Dorland's Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981.
Code: 171R00000X
Display Name: Interpreter
Section: Individual
Grouping: Other Service Providers
Classification: Interpreter
Definition: An Interpreter is a person who translates oral communication between two or more people.  This includes translating from one language to another or interpreting sign language.  An interpreter is necessary for medical care when the patient does not speak the language of the health care provider or when the patient has a disability involving spoken language.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [7/1/2006: new]
Code: 174N00000X
Display Name: Lactation Consultant (Non-RN)
Section: Individual
Grouping: Other Service Providers
Classification: Lactation Consultant, Non-RN
Definition: An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]
Code: 173000000X
Display Name: Legal Medicine
Section: Individual
Grouping: Other Service Providers
Classification: Legal Medicine
Definition: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.
Code: 172M00000X
Display Name: Mechanotherapist
Section: Individual
Grouping: Other Service Providers
Classification: Mechanotherapist
Definition: A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation.  In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.
Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new]
Code: 176B00000X
Display Name: Midwife
Section: Individual
Grouping: Other Service Providers
Classification: Midwife
Definition: A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed]
Code: 1710I1002X
Display Name: Independent Duty Corpsman
Section: Individual
Grouping: Other Service Providers
Classification: Military Health Care Provider
Specialization: Independent Duty Corpsman
Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs.  IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision.  IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]
Code: 1710I1003X
Display Name: Independent Duty Medical Technicians
Section: Individual
Grouping: Other Service Providers
Classification: Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Definition: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision.  An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT.  An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility.  IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]
Code: 172P00000X
Display Name: Naprapath
Section: Individual
Grouping: Other Service Providers
Classification: Naprapath
Definition: Naprapathy means a branch of medicine that focuses on the evaluation and treatment of neuron-muscular conditions.  Doctors of naprapathy are connective tissue specialists.  Education and training are defined through individual states' licensing/certification requirements.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]
Code: 175F00000X
Display Name: Naturopath
Section: Individual
Grouping: Other Service Providers
Classification: Naturopath
Definition: Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added]
Code: 170100000X
Display Name: Ph.D. Medical Genetics
Section: Individual
Grouping: Other Service Providers
Classification: Medical Genetics, Ph.D. Medical Genetics
Definition: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. 
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.
Code: 405300000X
Display Name: Prevention Professional
Section: Individual
Grouping: Other Service Providers
Classification: Prevention Professional
Definition: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention.   The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient.  Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services.  Individuals complete prevention professionals training for the population of patients with whom they work.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new]
Code: 173C00000X
Display Name: Reflexologist
Section: Individual
Grouping: Other Service Providers
Classification: Reflexologist
Definition: Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears. Reflexologists apply pressure to specific areas (feet, hands, and ears) to promote a response from an area far removed from the tissue stimulated via the nervous system and acupuncture meridians. Reflexologists are recommended to complete a minimum of 200 hours of education, typically including anatomy & physiology, Reflexology theory, body systems, zones, meridians & relaxation response, ethics, business standards, and supervised practicum.
Notes: Source: National Uniform Claim Committee (based on the American Reflexology Certification Board definition of Reflexology), 2007 [1/1/2008: new] Additional Resources: Foot and hand reflexology is a scientific art based on the premise that there are zones and reflex areas in the feet and hands which correspond to all body parts. The physical act of applying specific pressures using thumb, finger and hand techniques result in stress reduction which causes a physiological change in the body. Reflexology is a non-invasive, complementary modality involving thumb and finger techniques to apply alternating pressure to reflexes shown on reflex maps of the body located on the feet, hands, and outer ears. American Reflexology Certification Board, www.arcb.net/definiti.htm; Reflexology Association of America, www.reflexology-usa.org/standards.html
Code: 173F00000X
Display Name: Sleep Specialist (PhD)
Section: Individual
Grouping: Other Service Providers
Classification: Sleep Specialist, PhD
Definition: Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org
Code: 183500000X
Display Name: Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy.  The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]
Code: 1835P2201X
Display Name: Ambulatory Care Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Ambulatory Care
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new]
Code: 1835C0206X
Display Name: Cardiology Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Cardiology
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in direct patient care to ensure safe and effective use of medications in patients with cardiovascular disease, as members of interprofessional health care teams.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org
Code: 1835C0207X
Display Name: Compounded Sterile Preparations Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Compounded Sterile Preparations
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill to ensure that sterile preparations meet the clinical needs of patients, satisfying quality, safety, and environmental control requirements, regulations, and standards in all phases of preparation, storage, transportation, and administration.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org
Code: 1835C0205X
Display Name: Critical Care Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Critical Care
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new]
Code: 1835G0303X
Display Name: Geriatric Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Geriatric
Definition: A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP).  To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]
Code: 1835I0206X
Display Name: Infectious Diseases Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Infectious Diseases
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in the use of microbiology and pharmacology to develop, implement, and monitor drug regimens that incorporate antimicrobials to optimize therapy for patients.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org
Code: 1835N0905X
Display Name: Nuclear Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Nuclear
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition]
Code: 1835N1003X
Display Name: Nutrition Support Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Nutrition Support
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified]
Code: 1835X0200X
Display Name: Oncology Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Oncology
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new]
Code: 1835P0200X
Display Name: Pediatric Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Pediatrics
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new]
Code: 1835P0018X
Display Name: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Definition: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]
Code: 1835P1200X
Display Name: Pharmacotherapy Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Pharmacotherapy
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]
Code: 1835P1300X
Display Name: Psychiatric Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Psychiatric
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition]
Code: 1835S0206X
Display Name: Solid Organ Transplant Pharmacist
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacist
Specialization: Solid Organ Transplant
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill delivering direct patient care and the safe and effective use of medications for patients in all phases of solid organ transplantation.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org
Code: 183700000X
Display Name: Pharmacy Technician
Section: Individual
Grouping: Pharmacy Service Providers
Classification: Pharmacy Technician
Definition: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source]
Code: 367A00000X
Display Name: Advanced Practice Midwife
Section: Individual
Grouping: Physician Assistants & Advanced Practice Nursing Providers
Classification: Advanced Practice Midwife
Definition: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.
Notes: Source: American College of Nurse-Midwives, www.midwife.org
Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Code: 367H00000X
Display Name: Anesthesiologist Assistant
Section: Individual
Grouping: Physician Assistants & Advanced Practice Nursing Providers
Classification: Anesthesiologist Assistant
Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist.  Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques.  An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Code: 364S00000X
Display Name: Clinical Nurse Specialist
Section: Individual
Grouping: Physician Assistants & Advanced Practice Nursing Providers
Classification: Clinical Nurse Specialist
Definition: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.
Code: 367500000X
Display Name: Certified Registered Nurse Anesthetist
Section: Individual
Grouping: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Anesthetist, Certified Registered
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.
Code: 363L00000X
Display Name: Nurse Practitioner
Section: Individual
Grouping: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.
Code: 363A00000X
Display Name: Physician Assistant
Section: Individual
Grouping: Physician Assistants & Advanced Practice Nursing Providers
Classification: Physician Assistant
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Code: 211D00000X
Display Name: Podiatric Assistant
Section: Individual
Grouping: Podiatric Medicine & Surgery Service Providers
Classification: Assistant, Podiatric
Definition: An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.
Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 622.
Code: 213E00000X
Display Name: Podiatrist
Section: Individual
Grouping: Podiatric Medicine & Surgery Service Providers
Classification: Podiatrist
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Code: 229N00000X
Display Name: Anaplastologist
Section: Individual
Grouping: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification: Anaplastologist
Definition: An anaplastologist is a professional who creates prostheses for the face and body.  Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences.  Generally, there are no state licensing requirements for anaplastologists.  Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
Notes: Source: American Anaplastology Association, www.anaplastology.org. [7/1/2006: new]
Code: 221700000X
Display Name: Art Therapist
Section: Individual
Grouping: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification: Art Therapist
Definition: (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts
Code: 224Y00000X
Display Name: Clinical Exercise Physiologist
Section: Individual
Grouping: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification: Clinical Exercise Physiologist
Definition: A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 [10/1/2011: new]
Code: 225600000X
Display Name: Dance Therapist
Section: Individual
Grouping: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification: Dance Therapist
Definition: The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR).
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 11
Code: 222Q00000X
Display Name: Developmental Therapist
Section: Individual
Grouping: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification: Developmental Therapist
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]