KIM L PETERSHACK CD
NPI 1346206323
Dietitian, Registered in Madison, WI
NPI Status: Active since April 26, 2006
Contact Information
1313 FISH HATCHERY RD
DEAN MEDICAL CENTER
MADISON, WI
ZIP 53715
Phone: (608) 252-8000
Fax: (608) 252-8245
- Individual
- Female
- Dietitian, Registered
About KIM PETERSHACK
This page provides the complete NPI Profile along with additional information for Kim Petershack, a provider established in Madison, Wisconsin with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1346206323 assigned on April 2006. The practitioner's primary taxonomy code is 133V00000X with license number 15-029 (WI). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1346206323
- Provider Name
- KIM L PETERSHACK CD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715
- Location Phone
- (608) 252-8000
- Location Fax
- (608) 252-8245
- Mailing Address
- 1313 FISH HATCHERY RD MADISON, WI 53715
- Mailing Phone
- (608) 252-8000
- Mailing Fax
- (608) 252-8245
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-26-2006
- Last Update Date
- 01-23-2018
- Code Navigator
Location Map
Secondary Locations
- 1313 Fish Hatchery Rd Dean Medical Center
Madison, WI 53715
(608) 252-8000
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.
- 15-029
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1948 | OTHER (01) | WI | DEAN HEALTH INSURANCE |
Reviews for KIM L PETERSHACK CD
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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 | 3 | 4 | 6 | 2 | 0 | 6 | 3 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 0 | 12 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 0 + 1 + 2 + 3 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1346206323 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1316936149 | ROBERT G TANCREDI MD Individual | Internal Medicine (Cardiovascular Disease) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1699739441 | JEAN E ESPENSHADE CNS Individual | Clinical Nurse Specialist | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1740244599 | SUSAN C ENGESETH CNS Individual | Clinical Nurse Specialist | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1053376426 | RUSSELL G ROHRDANZ AUD Individual | Audiologist | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1790741288 | JANICE M ANTONIEWICZ-WERNER CD Individual | Dietitian, Registered | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1962468173 | AVIS A ELSON LCSW Individual | Social Worker (Clinical) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1891751012 | JULIE W HAY LCSW Individual | Social Worker | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1033175260 | ANN HERROLD-PETERSON LCSW Individual | Social Worker (Clinical) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1861458010 | ANN BRUNSELL LCSW Individual | Social Worker (Clinical) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1407813421 | WILLIAM R COHN LCSW Individual | Social Worker (Clinical) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1720045222 | MICHELLE E DUBIS PA-C Individual | Physician Assistant (Medical) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1063470748 | LINDA WILHELMI LCSW Individual | Social Worker (Clinical) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1316996606 | CRAIG O PIERCE PA-C Individual | Physician Assistant | 1313 FISH HATCHERY RD MADISON, WI 53715 (608) 252-8000 |
| 1184673881 | BETTE L MCCAULLEY NP Individual | Nurse Practitioner | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1619929700 | JAMES C NETTUM MD Individual | Family Medicine | 1313 FISH HATCHERY RD MADISON, WI 53715 (608) 252-8000 |
| 1649223975 | JAMES E ENGELER JR. MD Individual | Internal Medicine (Hematology & Oncology) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1477507366 | ROBERT W GRAEBNER MD Individual | Psychiatry & Neurology (Neurology) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1679528285 | LISA C FRIEDMAN MD Individual | Internal Medicine | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1548217425 | CHARLES E MILEY MD Individual | Psychiatry & Neurology (Neurology) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
| 1801833017 | THOMAS T MIDTHUN MD Individual | Preventive Medicine (Occupational Medicine) | 1313 FISH HATCHERY RD DEAN MEDICAL CENTER MADISON, WI 53715 (608) 252-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346206323, enumerated in the NPI registry as an "individual" on April 26, 2006
The provider is located at 1313 Fish Hatchery Rd Dean Medical Center Madison, Wi 53715 and the phone number is (608) 252-8000
The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 26, 2006. 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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