MALLORY JO NICHOLSON RD, LD
NPI 1154751196
Dietitian, Registered in West Des Moines, IA

NPI Status: Active since November 12, 2013

Contact Information

1990 GRAND AVE
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 223-8151

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  • Individual
  • Female
  • Dietitian, Registered

About MALLORY NICHOLSON

This page provides the complete NPI Profile along with additional information for Mallory Nicholson, a provider established in West Des Moines, Iowa with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1154751196 assigned on November 2013. The practitioner's primary taxonomy code is 133V00000X with license number 002117 (IA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1154751196
Provider Name
MALLORY JO NICHOLSON RD, LD
Other Name
MALLORY JO SMALL
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1990 GRAND AVE WEST DES MOINES, IA 50265
Location Phone
(515) 223-8151
Mailing Address
1990 GRAND AVE WEST DES MOINES, IA 50265
Is Sole Proprietor?
Yes
Enumeration Date
11-12-2013
Last Update Date
11-12-2013
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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

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
002117
License State
IA
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.
1154751196
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041452118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 5 + 2 + 1 + 1 + 8 + 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 = 66

The NPI number 1154751196 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871594580MS. RHONDA S EMRY RPH CDM
Individual
Pharmacist1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1003858085 KAREN SUE DAY RPH
Individual
Pharmacist1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1932748670 MICHELLE HAHN RPH
Individual
Pharmacist1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1447880489 LINDSEY SOBEK PHARM. D.
Individual
Pharmacist1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1891327714 MELISSA TOST
Individual
Pharmacist1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1215507207DR. TAYLOR CHRISTIAN HAMMOND PHARM.D.
Individual
Pharmacist1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1023047479HY-VEE INC
Organization
Pharmacy (Community/Retail Pharmacy)1990 GRAND AVE
WEST DES MOINES, IA 50265
(515) 223-8506
1508513748 SARAH E SAVAGE RD, LMNT
Individual
Dietitian, Registered1990 GRAND AVE
WEST DES MOINES, IA 50265
(155) 695-3121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154751196, enumerated in the NPI registry as an "individual" on November 12, 2013

The provider is located at 1990 Grand Ave West Des Moines, Ia 50265 and the phone number is (515) 223-8151

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

This NPI record was last updated on November 12, 2013. 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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