DIGESTIVE HEALTH NUTRITION LLC
NPI 1497334247
Dietitian, Registered in Edmond, OK

NPI Status: Active since April 07, 2021

Contact Information

12051 QUAIL RIDGE CIR
EDMOND, OK
ZIP 73034
Phone: (405) 960-3120
Fax: (405) 960-3125

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  • Organization
  • Dietitian, Registered
  • CLIA Number: 37D2077564
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-08-2026

About DIGESTIVE HEALTH NUTRITION LLC

This page provides the complete NPI Profile along with additional information for Digestive Health Nutrition Llc, a provider established in Edmond, Oklahoma operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1497334247 assigned on April 2021. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Digestive Health Nutrition Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Destiny Noel Howard Ms, Rdn, Ld, Cnsc (Owner / Dietitian)

NPI
1497334247
Provider Name
DIGESTIVE HEALTH NUTRITION LLC
Entity Type
Organization
Location Address
12051 QUAIL RIDGE CIR EDMOND, OK 73034
Location Phone
(405) 960-3120
Location Fax
(405) 960-3125
Mailing Address
3126 S BOULEVARD STE 127 EDMOND, OK 73013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2021
Last Update Date
01-11-2024
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DESTINY NOEL HOWARD MS, RDN, LD, CNSC

Authorized Official Title
OWNER / DIETITIAN
Authorized Official Phone
(405) 630-9018

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2077564
Facility Type
Physician Office
Certificate Effective Date
May 09, 2024
Certificate Expiration Date
May 08, 2026
Laboratory Director
SHELLEY J. CORMACK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Digestive Health Nutrition Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1497334247
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418763828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 3 + 8 + 2 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1497334247 is valid because the calculated check digit 7 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
1093198053MRS. DESTINY NOEL HOWARD MS, RDN, LD, CNSC
Individual
Dietitian, Registered12051 QUAIL RIDGE CIR
EDMOND, OK 73034
(405) 593-8512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497334247, enumerated in the NPI registry as an "organization" on April 07, 2021

The provider is located at 12051 Quail Ridge Cir Edmond, Ok 73034 and the phone number is (405) 960-3120

This medical organization specializes in Dietitian, Registered with taxonomy code 133V00000X

The provider's CLIA number is 37D2077564 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 07, 2021. 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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