MRS. ANDREA LOUISE BRAVERMAN R.D.
NPI 1629120860
Dietitian, Registered in Willits, CA

NPI Status: Active since January 17, 2007

Contact Information

1 MADRONE ST
WILLITS, CA
ZIP 95490
Phone: (707) 456-3132
Fax: (707) 456-3032

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  • Individual
  • Female
  • Dietitian, Registered

About ANDREA BRAVERMAN

This page provides the complete NPI Profile along with additional information for Andrea Braverman, a provider established in Willits, California with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1629120860 assigned on January 2007. The practitioner's primary taxonomy code is 133V00000X with license number R362093 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1629120860
Provider Name
MRS. ANDREA LOUISE BRAVERMAN R.D.
Gender
Female
Entity Type
Individual
Location Address
1 MADRONE ST WILLITS, CA 95490
Location Phone
(707) 456-3132
Location Fax
(707) 456-3032
Mailing Address
1 MADRONE ST WILLITS, CA 95490
Mailing Phone
(707) 456-3132
Mailing Fax
(707) 456-3032
Is Sole Proprietor?
Yes
Enumeration Date
01-17-2007
Last Update Date
07-08-2007
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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.
R362093
License State
CA
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.

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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.
1629120860
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649220812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 0 + 8 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1629120860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720065717MS. MARY ETHEL FARKAS RD/MNT
Individual
Dietitian, Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3132
1164409116DR. CHARLES MACAULAY HOTT MD
Individual
Emergency Medicine (Emergency Medical Services)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3050
1194703462MS. DEBRA JAN WOLD CRNA
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1255319679MR. GREGORY ALLAN NIDEROST
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1467466482DR. JONATHAN E TRAVIS M.D.
Individual
Radiology (Diagnostic Radiology)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3093
1144315730MS. ANNE C RETALLICK FNP
Individual
Registered Nurse (General Practice)1 MADRONE ST FRANK HOWARD MEMORIAL HOSPITAL
WILLITS, CA 95490
(707) 459-6801
1902018955 CINDY W. BODENSTEINER RN
Individual
Registered Nurse (Registered Nurse First Assistant)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1811179336 NANCY B. HOROWITZ MOILANEN SPEECH PATHOLOGIST
Individual
Speech-Language Pathologist1 MADRONE ST
WILLITS, CA 95490
(707) 459-4454
1396913653 CYNTHIA MAE WHITAKER M.S. CCC-SLP
Individual
Speech-Language Pathologist1 MADRONE ST
WILLITS, CA 95490
(707) 459-6801
1073899878 NHU TRAN ACNP
Individual
Nurse Practitioner (Acute Care)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3041
1114905122 CONSTANCE SUSAN CRISWELL CRNA
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1861653131DR. JULIE ANN MOYERS MD
Individual
Radiology (Diagnostic Radiology)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3093
1730511486 HENRIETTA A SIMONSSON RN
Individual
Registered Nurse (Diabetes Educator)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3050
1508948100DR. BRADLEY PATRICK CRNA, DNP, MBA, MS
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629120860, enumerated in the NPI registry as an "individual" on January 17, 2007

The provider is located at 1 Madrone St Willits, Ca 95490 and the phone number is (707) 456-3132

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

This NPI record was last updated on January 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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