STEPHANIE TERESE MALLEY RD
NPI 1336467612
Dietitian, Registered in Mishawaka, IN

NPI Status: Active since May 11, 2010

Contact Information

611 EAST DOUGLAS ROAD
SUITE 405
MISHAWAKA, IN
ZIP 46545
Phone: (574) 335-6240
Fax: (574) 335-6241

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  • Individual
  • Female
  • Dietitian, Registered

About STEPHANIE MALLEY

This page provides the complete NPI Profile along with additional information for Stephanie Malley, a provider established in Mishawaka, Indiana with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1336467612 assigned on May 2010. The practitioner's primary taxonomy code is 133V00000X with license number 37001711A (IN). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1336467612
Provider Name
STEPHANIE TERESE MALLEY RD
Gender
Female
Entity Type
Individual
Location Address
611 EAST DOUGLAS ROAD SUITE 405 MISHAWAKA, IN 46545
Location Phone
(574) 335-6240
Location Fax
(574) 335-6241
Mailing Address
611 EAST DOUGLAS ROAD SUITE 405 MISHAWAKA, IN 46545
Mailing Phone
(574) 335-6240
Mailing Fax
(574) 335-6241
Is Sole Proprietor?
No
Enumeration Date
05-11-2010
Last Update Date
05-11-2010
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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.
37001711A
License State
IN
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.
1336467612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366861462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 6 + 1 + 4 + 6 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336467612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578692794 LYNN DAVIS FIGG FNP
Individual
Nurse Practitioner (Family)611 EAST DOUGLAS ROAD SUITE 405
MISHAWAKA, IN 46545
(574) 335-6240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336467612, enumerated in the NPI registry as an "individual" on May 11, 2010

The provider is located at 611 East Douglas Road Suite 405 Mishawaka, In 46545 and the phone number is (574) 335-6240

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

This NPI record was last updated on May 11, 2010. 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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