REBECCA GAIL MCKENZIE
NPI 1063977312
Dietitian, Registered - Nutrition, Pediatric in Apple Valley, CA

NPI Status: Active since January 31, 2019

Contact Information

18300 CA-18
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-2311

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  • Individual
  • Female
  • Dietitian, Registered
  • Nutrition, Pediatric

About REBECCA MCKENZIE

This page provides the complete NPI Profile along with additional information for Rebecca Mckenzie, a provider established in Apple Valley, California with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1063977312 assigned on January 2019. The practitioner's primary taxonomy code is 133VN1004X with license number 86075778 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1063977312
Provider Name
REBECCA GAIL MCKENZIE
Gender
Female
Entity Type
Individual
Location Address
18300 CA-18 APPLE VALLEY, CA 92307
Location Phone
(760) 242-2311
Mailing Address
6382 N BRENDA LN SAN BERNARDINO, CA 92407
Mailing Phone
(909) 965-2880
Is Sole Proprietor?
Yes
Enumeration Date
01-31-2019
Last Update Date
01-31-2019
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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 Nutrition, Pediatric

Taxonomy Code
133VN1004X
Type
Dietary & Nutritional Service Providers
License No.
86075778
License State
CA
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)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

86075778 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
86075778OTHER (01)CAACADEMY OF NUTRITION AND DIETETICS

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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.
1063977312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231871432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 7 + 1 + 4 + 3 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1063977312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841459583DR. JOHN YASHOU D.O.
Individual
Emergency Medicine18300 CA-18
APPLE VALLEY, CA 92307
(760) 946-8876
1699436600 HEIDI KRYSTAL KENDEIGH PA
Individual
Physician Assistant18300 CA-18
APPLE VALLEY, CA 92307
(760) 242-2311
1639852635 ALFREDO MANUEL PORTILLO AG-ACNP
Individual
Nurse Practitioner (Acute Care)18300 CA-18
APPLE VALLEY, CA 92307
(760) 242-2311
1053579821MR. JESUS A QUINONEZ NP
Individual
Nurse Practitioner18300 CA-18
APPLE VALLEY, CA 92307
(760) 242-2311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063977312, enumerated in the NPI registry as an "individual" on January 31, 2019

The provider is located at 18300 Ca-18 Apple Valley, Ca 92307 and the phone number is (760) 242-2311

The provider's speciality is Dietitian, Registered with taxonomy code 133VN1004X with a focus in Nutrition, Pediatric

The provider might be accepting Accepts: Medicare and Medicaid. 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 January 31, 2019. 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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