MRS. CAROLYN SUZANNE JOHANSEN RD, CDE, CD
NPI 1578607099
Dietitian, Registered in Barre, VT

NPI Status: Active since February 17, 2007

Contact Information

20 S MAIN ST
BARRE, VT
ZIP 05641
Phone: (802) 476-7607
Fax: (802) 244-4122

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  • Individual
  • Female
  • Dietitian, Registered

About CAROLYN JOHANSEN

This page provides the complete NPI Profile along with additional information for Carolyn Johansen, a provider established in Barre, Vermont with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1578607099 assigned on February 2007. The practitioner's primary taxonomy code is 133V00000X with license number 074-0000070 (VT). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1578607099
Provider Name
MRS. CAROLYN SUZANNE JOHANSEN RD, CDE, CD
Other Name
MRS. SUE JOHANSEN RD, CDE, CD
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
20 S MAIN ST BARRE, VT 05641
Location Phone
(802) 476-7607
Location Fax
(802) 244-4122
Mailing Address
19 WINDRIDGE LN WATERBURY, VT 05676
Mailing Phone
(802) 244-4122
Mailing Fax
(802) 244-4122
Is Sole Proprietor?
Yes
Enumeration Date
02-17-2007
Last Update Date
07-09-2007
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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.
074-0000070
License State
VT
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.

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
1007165MEDICAID (05)VT 
MTO133MEDICARE ID-TYPE UNSPECIFIED (04)VTGREEN MOUNTAIN NUTRITION
GREE 29429OTHER (01)VTBCBS GREEN MT NUTRITRION
47689OTHER (01)VTMVP NUMBER
28597OTHER (01)VTBLUE CROSS BLUE SHIELD NU
JOMTO132MEDICARE ID-TYPE UNSPECIFIED (04)VTMY MEDICARE NUMBER

Reviews for MRS. CAROLYN SUZANNE JOHANSEN RD, CDE, 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.
1578607099
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514812014018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 2 + 0 + 1 + 4 + 0 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1578607099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730583931BARRE PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)20 S MAIN ST
BARRE, VT 05641
(802) 479-3381
1881779460MR. THOMAS EDWARD CLARENCE R.PH, MS
Individual
Pharmacist20 S MAIN ST
BARRE, VT 05641
(802) 479-3381
1932201407GREEN MOUNTAIN NUTRITION ASSOCIATES
Organization
Dietitian, Registered20 S MAIN ST
BARRE, VT 05641
(802) 476-7607
1801830401TES DRUG, INC.
Organization
Pharmacy (Community/Retail Pharmacy)20 S MAIN ST
BARRE, VT 05641
(802) 479-3381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578607099, enumerated in the NPI registry as an "individual" on February 17, 2007

The provider is located at 20 S Main St Barre, Vt 05641 and the phone number is (802) 476-7607

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

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 February 17, 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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