MRS. ELLEN KATHLEEN SOURS R.D.,L.D.
NPI 1548296072
Dietitian, Registered - Nutrition, Renal in Canton, OH
NPI Status: Active since June 25, 2006
Contact Information
4689 FULTON DR NW
CANTON, OH
ZIP 44718
Phone: (330) 649-9400
Fax: (330) 649-8059
- Individual
- Female
- Dietitian, Registered
- Nutrition, Renal
About ELLEN SOURS
This page provides the complete NPI Profile along with additional information for Ellen Sours, a provider established in Canton, Ohio with a medical specialization in Dietitian, Registered, focusing in nutrition, renal . The healthcare provider is registered in the NPI registry with number 1548296072 assigned on June 2006. The practitioner's primary taxonomy code is 133VN1005X with license number 1569 (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1548296072
- Provider Name
- MRS. ELLEN KATHLEEN SOURS R.D.,L.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4689 FULTON DR NW CANTON, OH 44718
- Location Phone
- (330) 649-9400
- Location Fax
- (330) 649-8059
- Mailing Address
- 4685 FULTON DR NW CANTON, OH 44718
- Mailing Phone
- (330) 649-9300
- Mailing Fax
- (330) 649-8059
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-25-2006
- 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
Dietitian, Registered Nutrition, Renal
- Taxonomy Code
- 133VN1005X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 1569
- License State
- OH
- Taxonomy Description
- An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, 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 |
|---|---|---|---|
| MT01421 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | MEDICAL NUTRITION THERAPY |
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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 | 5 | 4 | 8 | 2 | 9 | 6 | 0 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 4 | 9 | 12 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 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 = 2 | 2 | ||||||||
The NPI number 1548296072 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 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316943707 | DR. LUIS F SOTO M.D. Individual | Internal Medicine (Nephrology) | 4689 FULTON DR NW CANTON, OH 44718 (330) 649-9400 |
| 1982600979 | DR. KEVIN J KELLEY M.D. Individual | Internal Medicine (Nephrology) | 4689 FULTON DR NW CANTON, OH 44718 (330) 649-9400 |
| 1053355495 | MRS. CATHLEEN RAE TURNER R.D., L.D. Individual | Dietitian, Registered (Nutrition, Renal) | 4689 FULTON DR NW CANTON, OH 44718 (330) 649-9400 |
| 1740219146 | MS. EVA PETKAC DONNELLY RD/LD Individual | Dietitian, Registered (Nutrition, Renal) | 4689 FULTON DR NW CANTON, OH 44718 (330) 649-9400 |
| 1396148235 | RHONDA J CASTO FNP Individual | Nurse Practitioner (Family) | 4689 FULTON DR NW CANTON, OH 44718 (330) 649-9400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548296072, enumerated in the NPI registry as an "individual" on June 25, 2006
The provider is located at 4689 Fulton Dr Nw Canton, Oh 44718 and the phone number is (330) 649-9400
The provider's speciality is Dietitian, Registered with taxonomy code 133VN1005X with a focus in Nutrition, Renal
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 June 25, 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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