MRS. JEQUITHIA L SIMS NDTR
NPI 1104629617
Dietetic Technician, Registered in Grand Prairie, TX

NPI Status: Active since March 31, 2025

Contact Information

2952 TRAIL LAKE DR
GRAND PRAIRIE, TX
ZIP 75054
Phone: (214) 687-7203

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  • Individual
  • Female
  • Dietetic Technician, Registered

About JEQUITHIA SIMS

This page provides the complete NPI Profile along with additional information for Jequithia Sims, a provider established in Grand Prairie, Texas with a medical specialization in Dietetic Technician, Registered. The healthcare provider is registered in the NPI registry with number 1104629617 assigned on March 2025. The practitioner's primary taxonomy code is 136A00000X with license number 86170507 (TX). The provider is registered as an individual and her NPI record was last updated March 2025.

NPI
1104629617
Provider Name
MRS. JEQUITHIA L SIMS NDTR
Gender
Female
Entity Type
Individual
Location Address
2952 TRAIL LAKE DR GRAND PRAIRIE, TX 75054
Location Phone
(214) 687-7203
Mailing Address
2952 TRAIL LAKE DR GRAND PRAIRIE, TX 75054
Mailing Phone
(214) 687-7203
Is Sole Proprietor?
Yes
Enumeration Date
03-31-2025
Last Update Date
03-31-2025
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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

Dietetic Technician, Registered

Taxonomy Code
136A00000X
Type
Dietary & Nutritional Service Providers
License No.
86170507
License State
TX
Taxonomy Description
A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.

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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.
1104629617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041221862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 2 + 2 + 1 + 8 + 6 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1104629617 is valid because the calculated check digit 7 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 1104629617, enumerated in the NPI registry as an "individual" on March 31, 2025

The provider is located at 2952 Trail Lake Dr Grand Prairie, Tx 75054 and the phone number is (214) 687-7203

The provider's speciality is Dietetic Technician, Registered with taxonomy code 136A00000X

This NPI record was last updated on March 31, 2025. 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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