LACEY JACKSON LMP
NPI 1417096082
Specialist in Tumwater, WA
NPI Status: Active since February 06, 2007
Contact Information
712 TROSPER RD SW
TUMWATER, WA
ZIP 98512
Phone: (360) 570-2273
- Individual
- Female
- Specialist
About LACEY JACKSON
This page provides the complete NPI Profile along with additional information for Lacey Jackson, a provider established in Tumwater, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1417096082 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number MA00013081 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1417096082
- Provider Name
- LACEY JACKSON LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 712 TROSPER RD SW TUMWATER, WA 98512
- Location Phone
- (360) 570-2273
- Mailing Address
- PO BOX 14654 TUMWATER, WA 98511
- Mailing Phone
- (360) 570-2273
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-06-2007
- Last Update Date
- 07-08-2007
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MA00013081
- License State
- WA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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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 | 4 | 1 | 7 | 0 | 9 | 6 | 0 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 9 | 12 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 9 + 1 + 2 + 0 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1417096082 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 |
|---|---|---|---|
| 1891752150 | GAYLE LINDSEY BURDITT MA CCC Individual | Speech-Language Pathologist | 712 TROSPER RD SW TUMWATER, WA 98512 (360) 866-8093 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417096082, enumerated in the NPI registry as an "individual" on February 06, 2007
The provider is located at 712 Trosper Rd Sw Tumwater, Wa 98512 and the phone number is (360) 570-2273
The provider's speciality is Specialist with taxonomy code 174400000X
This NPI record was last updated on February 06, 2007. 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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