SHANE MICHEAL HARDEMON
NPI 1003634478
Peer Specialist in Blackwell, OK

NPI Status: Active since October 02, 2024

Contact Information

444 E COLLEGE AVE
BLACKWELL, OK
ZIP 74631
Phone: (580) 401-7527

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  • Individual
  • Male
  • Peer Specialist

About SHANE HARDEMON

This page provides the complete NPI Profile along with additional information for Shane Hardemon, a provider established in Blackwell, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1003634478 assigned on October 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1003634478
Provider Name
SHANE MICHEAL HARDEMON
Gender
Male
Entity Type
Individual
Location Address
444 E COLLEGE AVE BLACKWELL, OK 74631
Location Phone
(580) 401-7527
Mailing Address
444 E COLLEGE AVE BLACKWELL, OK 74631
Mailing Phone
(580) 401-7527
Is Sole Proprietor?
Yes
Enumeration Date
10-02-2024
Last Update Date
10-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License State
OK
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003634478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031238414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 2 + 3 + 8 + 4 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1003634478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003634478, enumerated in the NPI registry as an "individual" on October 02, 2024

The provider is located at 444 E College Ave Blackwell, Ok 74631 and the phone number is (580) 401-7527

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on October 02, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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