MS. SUSIE S PARK MS, RD, LD
NPI 1114219136
Dietitian, Registered in Atlanta, GA
NPI Status: Active since May 10, 2011
Contact Information
5238 PEACHTREE RD
ATLANTA, GA
ZIP 30341
Phone: (770) 455-7602
- Individual
- Female
- Dietitian, Registered
About SUSIE PARK
This page provides the complete NPI Profile along with additional information for Susie Park, a provider established in Atlanta, Georgia with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1114219136 assigned on May 2011. The practitioner's primary taxonomy code is 133V00000X with license number LD003680 (GA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1114219136
- Provider Name
- MS. SUSIE S PARK MS, RD, LD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5238 PEACHTREE RD ATLANTA, GA 30341
- Location Phone
- (770) 455-7602
- Mailing Address
- 5238 PEACHTREE RD ATLANTA, GA 30341
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-10-2011
- Last Update Date
- 05-10-2011
- 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
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- LD003680
- License State
- GA
- 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.
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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 | 1 | 1 | 4 | 2 | 1 | 9 | 1 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 1 | 18 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 1 + 1 + 8 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1114219136 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1386971570 | MS. LAURIE LEDFORD MS, RD, LD Individual | Dietitian, Registered | 5238 PEACHTREE RD CHAMBLEE, GA 30341 (770) 455-7602 |
| 1952605198 | MRS. MARY C. GROOVER MS, RD, LD Individual | Dietitian, Registered | 5238 PEACHTREE RD CHAMBLEE, GA 30341 (770) 455-7602 |
| 1710259379 | MARY ELIZABETH EBINGER M.S., LPC Individual | Counselor (Mental Health) | 5238 PEACHTREE RD CHAMBLEE, GA 30341 (404) 733-3519 |
| 1437222700 | SENIOR CONNECTIONS, INC Organization | Home Delivered Meals | 5238 PEACHTREE RD CHAMBLEE, GA 30341 (770) 455-7602 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114219136, enumerated in the NPI registry as an "individual" on May 10, 2011
The provider is located at 5238 Peachtree Rd Atlanta, Ga 30341 and the phone number is (770) 455-7602
The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X
This NPI record was last updated on May 10, 2011. 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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