INNOVATIVE NUTRITION LLC
NPI 1023610615
Dietitian, Registered in Mobile, AL

NPI Status: Active since November 10, 2020

Contact Information

100 MEMORIAL HOSPITAL DR STE 3C
MOBILE, AL
ZIP 36608
Phone: (251) 272-9654
Fax: (251) 243-4942

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  • Organization
  • Dietitian, Registered

About INNOVATIVE NUTRITION LLC

This page provides the complete NPI Profile along with additional information for Innovative Nutrition Llc, a provider established in Mobile, Alabama operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1023610615 assigned on November 2020. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Innovative Nutrition Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Brooke Gacek Rdn, Ld (Owner)

NPI
1023610615
Provider Name
INNOVATIVE NUTRITION LLC
Entity Type
Organization
Location Address
100 MEMORIAL HOSPITAL DR STE 3C MOBILE, AL 36608
Location Phone
(251) 272-9654
Location Fax
(251) 243-4942
Mailing Address
2889 SOLLIE RD APT 303 MOBILE, AL 36695
Mailing Phone
(205) 305-2840
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2020
Last Update Date
11-10-2020
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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

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BROOKE GACEK RDN, LD

Authorized Official Title
OWNER
Authorized Official Phone
(205) 305-2840

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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.
1023610615
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043121062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 1 + 0 + 6 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1023610615 is valid because the calculated check digit 5 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 1023610615, enumerated in the NPI registry as an "organization" on November 10, 2020

The provider is located at 100 Memorial Hospital Dr Ste 3c Mobile, Al 36608 and the phone number is (251) 272-9654

This medical organization specializes in Dietitian, Registered with taxonomy code 133V00000X

This NPI record was last updated on November 10, 2020. 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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