KODY MICHAEL DUCLOS RD, LD
NPI 1033748124
Dietitian, Registered - Nutrition, Pediatric in Boise, ID
NPI Status: Active since April 02, 2020
- Individual
- Male
- Dietitian, Registered
- Nutrition, Pediatric
- Accepts Insurance
About KODY DUCLOS
This page provides the complete NPI Profile along with additional information for Kody Duclos, a provider established in Boise, Idaho with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1033748124 assigned on April 2020. The practitioner's primary taxonomy code is 133VN1004X with license number 86117056 (ID). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1033748124
- Provider Name
- KODY MICHAEL DUCLOS RD, LD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 305 E JEFFERSON ST BOISE, ID 83712
- Location Phone
- (208) 381-7081
- Mailing Address
- 5176 W MERCURY CT BOISE, ID 83705
- Mailing Phone
- (208) 507-5656
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2020
- Last Update Date
- 04-02-2020
- Code Navigator
Location Map
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 Nutrition, Pediatric
- Taxonomy Code
- 133VN1004X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86117056
- License State
- ID
- Taxonomy Description
- An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133VN1301X | Dietary & Nutritional Service Providers | Dietitian, Registered | 86117056 (ID) |
| 2 | 133VN1401X | Dietary & Nutritional Service Providers | Dietitian, Registered | 86117056 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86117056 | OTHER (01) | ID | COMMISSION ON DIETETIC REGISTRATION |
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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. | |||||||||
| 1 | 0 | 3 | 3 | 7 | 4 | 8 | 1 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 14 | 4 | 16 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 4 + 4 + 1 + 6 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1033748124 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114975802 | JOHN ULLERY MD Individual | Pediatrics | 305 E JEFFERSON ST SUITE 101 BOISE, ID 83712 (208) 345-0715 |
| 1245288968 | RALPH HIGER MD Individual | Pediatrics | 305 E JEFFERSON ST SUITE 101 BOISE, ID 83712 (208) 345-0715 |
| 1134178403 | LARRY BISHOP MD Individual | Pediatrics | 305 E JEFFERSON ST SUITE 101 BOISE, ID 83712 (208) 345-0715 |
| 1801059209 | DR. CHERYL HIGER D.M.D. Individual | Dentist (Pediatric Dentistry) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 384-9872 |
| 1164476131 | KAREN M REDWINE M.D. Individual | Pediatrics (Pediatric Nephrology) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7336 |
| 1649212077 | JOSEPH A HILINSKI MD Individual | Pediatrics (Pediatric Infectious Diseases) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7330 |
| 1316981632 | JEAN U BENDER MD Individual | Pediatrics (Pediatric Nephrology) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7336 |
| 1154358067 | MICHELE B EBBERS MD Individual | Urology (Pediatric Urology) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-6196 |
| 1225236383 | MRS. SHANNON SUZANNE MORRILL PA-C Individual | Physician Assistant | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-5180 |
| 1891005716 | MALIA LYNN FRAZIER NP Individual | Nurse Practitioner | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-9590 |
| 1023306966 | DR. PAUL CHRISTIAN NEVILLE O.D. Individual | Optometrist | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-6910 |
| 1437467644 | JAEGER A ASHTON NP Individual | Nurse Practitioner (Pediatrics) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-9590 |
| 1962491415 | LYNN M LUGINBUHL MD Individual | Pediatrics (Pediatric Infectious Diseases) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7330 |
| 1730109299 | TRACY L. VARNER RD Individual | Dietitian, Registered | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7081 |
| 1699071217 | SAMANTHA CRAGG M.D. Individual | Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine) | 305 E JEFFERSON ST BOISE, ID 83712 (083) 815-1112 |
| 1912272014 | DR. SEAN TIMPANE MD Individual | Pediatrics (Hospice and Palliative Medicine) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7095 |
| 1366060147 | BAILEY SEVERE MS Individual | Genetic Counselor, MS | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7339 |
| 1952066102 | ALEXANDRIA JORDAN KOMLENIC NP Individual | Nurse Practitioner (Family) | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7310 |
| 1477229250 | ILSE M MORENO RDN Individual | Dietitian, Registered | 305 E JEFFERSON ST BOISE, ID 83712 (208) 381-7081 |
| 1265199525 | MADISON TAYLOR GORTON RDN Individual | Dietitian, Registered | 305 E JEFFERSON ST BOISE, ID 83712 (208) 706-5437 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033748124, enumerated in the NPI registry as an "individual" on April 02, 2020
The provider is located at 305 E Jefferson St Boise, Id 83712 and the phone number is (208) 381-7081
The provider's speciality is Dietitian, Registered with taxonomy code 133VN1004X with a focus in Nutrition, Pediatric
The provider might be accepting Accepts: Moda Health Plan, Inc., Mountain Health CO-OP,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 02, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.