STACEY PHIPPS
NPI 1265716146
Nursing Facility/Intermediate Care Facility in South Bend, IN
NPI Status: Active since October 10, 2011
Contact Information
1950 RIDGEDALE RD
SOUTH BEND, IN
ZIP 46614
Phone: (574) 291-6722
- Individual
- Female
- Nursing Facility/Intermediate Care Facil...
About STACEY PHIPPS
This page provides the complete NPI Profile along with additional information for Stacey Phipps, a provider established in South Bend, Indiana with a medical specialization in Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1265716146 assigned on October 2011. The practitioner's primary taxonomy code is 313M00000X with license number 32001430A (IN). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1265716146
- Provider Name
- STACEY PHIPPS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1950 RIDGEDALE RD SOUTH BEND, IN 46614
- Location Phone
- (574) 291-6722
- Mailing Address
- 2612 SOUTHRIDGE DR SOUTH BEND, IN 46614
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-10-2011
- Last Update Date
- 10-10-2011
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 32001430A
- License State
- IN
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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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 | 2 | 6 | 5 | 7 | 1 | 6 | 1 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 14 | 1 | 12 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 4 + 1 + 1 + 2 + 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 = 6 | 6 | ||||||||
The NPI number 1265716146 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174720650 | TANYA M GOELLER PTA Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1174720676 | MRS. PENNY R FITZPATRICK OTR Individual | Occupational Therapist | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1740487255 | ANALYN ABELLA PT Individual | Physical Therapist | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1255538609 | AMY JONES COTA Individual | Occupational Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1821295098 | MARY TURCZYNSKI PTA Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1811194095 | LISA WALTON SLP Individual | Speech-Language Pathologist | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1144427329 | SHANNON JACKSON REHAB TECH Individual | Technician, Other | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1508063793 | TAMARA DUJARDIN COTA Individual | Occupational Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1326245531 | BRETT MORTON PTA Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1811194251 | DOROTHY HOWLAND PTA Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1225235583 | TERRY PANTIG PTA Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1730386921 | CARRIE ZEHFUS COTA Individual | Occupational Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1962734822 | JULIE STROHL Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1063796951 | MR. JOHN RAYMOND PARHM JR. P.T.A. Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1134403033 | MRS. JOANE CAMILLE WILLIAMS M.A.,CCC-SLP Individual | Nursing Facility/Intermediate Care Facility | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 707-3970 |
| 1124302054 | JHERI WHITE Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1669544516 | INDIANA HEALTH AND REHABILITATION CENTERS Organization | Skilled Nursing Facility | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1154750859 | LAURA SCHLINSKY MACCC/SLP Individual | Speech-Language Pathologist | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1649609629 | SARAH CYRIER PTA Individual | Physical Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
| 1104245695 | MRS. FATEMA LYNN CISCHKE COTA Individual | Occupational Therapy Assistant | 1950 RIDGEDALE RD SOUTH BEND, IN 46614 (574) 291-6722 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265716146, enumerated in the NPI registry as an "individual" on October 10, 2011
The provider is located at 1950 Ridgedale Rd South Bend, In 46614 and the phone number is (574) 291-6722
The provider's speciality is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
This NPI record was last updated on October 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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