MS. GANIELLE MARVA PETERSON ASSISTED LIVING ADMN
NPI 1285241489
Nursing Home Administrator in Port St Lucie, FL

NPI Status: Active since September 30, 2020

Contact Information

2773 SE CLARETON TER
PORT ST LUCIE, FL
ZIP 34952
Phone: (954) 657-1812

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  • Individual
  • Female
  • Nursing Home Administrator

About GANIELLE PETERSON

This page provides the complete NPI Profile along with additional information for Ganielle Peterson, a provider established in Port St Lucie, Florida with a medical specialization in Nursing Home Administrator. The healthcare provider is registered in the NPI registry with number 1285241489 assigned on September 2020. The practitioner's primary taxonomy code is 376G00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1285241489
Provider Name
MS. GANIELLE MARVA PETERSON ASSISTED LIVING ADMN
Gender
Female
Entity Type
Individual
Location Address
2773 SE CLARETON TER PORT ST LUCIE, FL 34952
Location Phone
(954) 657-1812
Mailing Address
2773 SE CLARETON TER PORT ST LUCIE, FL 34952
Mailing Phone
(954) 657-1812
Is Sole Proprietor?
No
Enumeration Date
09-30-2020
Last Update Date
09-30-2020
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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

Nursing Home Administrator

Taxonomy Code
376G00000X
Type
Nursing Service Related Providers
License State
FL
Taxonomy Description
An individual, often licensed by the state, who is responsible for the management of a nursing home.

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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.
1285241489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165442416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 4 + 2 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285241489 is valid because the calculated check digit 9 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 1285241489, enumerated in the NPI registry as an "individual" on September 30, 2020

The provider is located at 2773 Se Clareton Ter Port St Lucie, Fl 34952 and the phone number is (954) 657-1812

The provider's speciality is Nursing Home Administrator with taxonomy code 376G00000X

This NPI record was last updated on September 30, 2020. 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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