JASON R PETERSON R D
NPI 1073668000
Dietitian, Registered - Nutrition, Renal in Des Moines, IA

NPI Status: Active since January 23, 2007

Contact Information

1111 6TH AVE
SUITE 510
DES MOINES, IA
ZIP 50314
Phone: (515) 643-5275
Fax: (515) 643-5276

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  • Individual
  • Male
  • Dietitian, Registered
  • Nutrition, Renal

About JASON PETERSON

This page provides the complete NPI Profile along with additional information for Jason Peterson, a provider established in Des Moines, Iowa with a medical specialization in Dietitian, Registered, focusing in nutrition, renal . The healthcare provider is registered in the NPI registry with number 1073668000 assigned on January 2007. The practitioner's primary taxonomy code is 133VN1005X with license number 01563 (IA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1073668000
Provider Name
JASON R PETERSON R D
Gender
Male
Entity Type
Individual
Location Address
1111 6TH AVE SUITE 510 DES MOINES, IA 50314
Location Phone
(515) 643-5275
Location Fax
(515) 643-5276
Mailing Address
2213 GRAND AVE DES MOINES, IA 50312
Mailing Phone
(515) 237-3974
Mailing Fax
(515) 643-5276
Is Sole Proprietor?
No
Enumeration Date
01-23-2007
Last Update Date
07-08-2007
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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, Renal

Taxonomy Code
133VN1005X
Type
Dietary & Nutritional Service Providers
License No.
01563
License State
IA
Taxonomy Description
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

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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.
1073668000
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431261600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 6 + 1 + 6 + 0 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073668000 is valid because the calculated check digit 0 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
1891780730 JUDITH HEGGEN DO
Individual
Pediatrics (Pediatric Critical Care Medicine)1111 6TH AVE MAIN 3
DES MOINES, IA 50314
(515) 246-9620
1609863034DR. GEORGE W. BROWN M.D.
Individual
Radiology (Neuroradiology)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1801883186DR. RICHARD A. BEDONT M.D.
Individual
Nuclear Medicine (Nuclear Imaging & Therapy)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1265429294DR. MICHAEL A. DISBRO M.D.
Individual
Nuclear Medicine (Nuclear Imaging & Therapy)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1356338396DR. TERRY L. FALK M.D.
Individual
Radiology (Body Imaging)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1316934359DR. INDUNIL KARUNASEKERA M.D.
Individual
Radiology (Neuroradiology)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1740277763DR. KARL E. DIGMAN M.D.
Individual
Radiology (Vascular & Interventional Radiology)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1013904044DR. MITCHELL R. ERICKSON M.D.
Individual
Radiology (Neuroradiology)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1447248844DR. ALAN T. MCDANIEL M.D.
Individual
Radiology (Vascular & Interventional Radiology)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1639167042DR. THOMAS A. MALLISEE III M.D.
Individual
Radiology (Body Imaging)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1790773109DR. SANDRA A. RUHS M.D.
Individual
Radiology (Body Imaging)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1558359950DR. KRAIG R. KIRKPATRICK M.D.
Individual
Radiology (Body Imaging)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1114915527DR. ROMAN MIRSKY M.D.
Individual
Nuclear Medicine (Nuclear Imaging & Therapy)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1922096353DR. WILLIAM C. YOUNG M.D.
Individual
Radiology (Neuroradiology)1111 6TH AVE
DES MOINES, IA 50314
(515) 643-2667
1477534279MR. EDMUND J PIASECKI III FNP
Individual
Nurse Practitioner (Family)1111 6TH AVE MERCY MEDICAL CENTE ER
DES MOINES, IA 50314
(515) 247-3173
1518948389DR. MARK EDWARD RANDLEMAN D.O.
Individual
Emergency Medicine1111 6TH AVE EMERGENCY MEDICINE
DES MOINES, IA 50314
(515) 247-4445
1144208091DR. STEVEN D. LAMER I D.O.
Individual
Emergency Medicine1111 6TH AVE EMERGENCY DEPARTMENT
DES MOINES, IA 50314
(515) 643-4445
1497728612 STEVEN T DAWSON M.D.
Individual
Pediatrics (Pediatric Emergency Medicine)1111 6TH AVE PEDIATRIC EMERGENCY DEPARTMENT
DES MOINES, IA 50314
(515) 247-4445
1184683161 JAMES POOLE DO
Individual
Emergency Medicine1111 6TH AVE
DES MOINES, IA 50314
(515) 247-4445
1538128327 LENARD M. KERR D.O.
Individual
Emergency Medicine1111 6TH AVE MERCY HOSPITAL EMERGENCY PHYSICIANS
DES MOINES, IA 50314
(515) 247-4445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073668000, enumerated in the NPI registry as an "individual" on January 23, 2007

The provider is located at 1111 6th Ave Suite 510 Des Moines, Ia 50314 and the phone number is (515) 643-5275

The provider's speciality is Dietitian, Registered with taxonomy code 133VN1005X with a focus in Nutrition, Renal

This NPI record was last updated on January 23, 2007. 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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