BANNER-UNIVERSITY MEDICAL GROUP
NPI 1639842677
Nutritionist - Nutrition, Education in Tucson, AZ
NPI Status: Active since July 27, 2021
Contact Information
6261 N LA CHOLLA BLVD STE 131
TUCSON, AZ
ZIP 85741
Phone: (520) 694-5437
Fax: (520) 694-3941
- Organization
- Nutritionist
- Nutrition, Education
- CLIA Number: 03D2148533
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-13-2026
About BANNER-UNIVERSITY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Banner-university Medical Group, a provider established in Tucson, Arizona operating as a Nutritionist, focusing in nutrition, education . The healthcare provider is registered in the NPI registry with number 1639842677 assigned on July 2021. The practitioner's primary taxonomy code is 133NN1002X. The provider is registered as an organization and their NPI record was last updated one year ago. Banner-university Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Venkata Evani (President)
- NPI
- 1639842677
- Provider Name
- BANNER-UNIVERSITY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 6261 N LA CHOLLA BLVD STE 131 TUCSON, AZ 85741
- Location Phone
- (520) 694-5437
- Location Fax
- (520) 694-3941
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-27-2021
- Last Update Date
- 11-15-2024
- 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
Nutritionist Nutrition, Education
- Taxonomy Code
- 133NN1002X
- Type
- Dietary & Nutritional Service Providers
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) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 03D2148533
- Facility Type
- Community Clinic
- Certificate Effective Date
- May 14, 2024
- Certificate Expiration Date
- May 13, 2026
- Laboratory Director
- KIMBERLY GERHART
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Banner-university Medical Group 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. | |||||||||
| 1 | 6 | 3 | 9 | 8 | 4 | 2 | 6 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 4 | 4 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 4 + 4 + 6 + 1 + 4 + 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 = 7 | 7 | ||||||||
The NPI number 1639842677 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 |
|---|---|---|---|
| 1851359608 | SARAH A. EIDER RD, RN, CDCES Individual | Registered Nurse (Diabetes Educator) | 6261 N LA CHOLLA BLVD STE 131 TUCSON, AZ 85741 (520) 694-5437 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639842677, enumerated in the NPI registry as an "organization" on July 27, 2021
The provider is located at 6261 N La Cholla Blvd Ste 131 Tucson, Az 85741 and the phone number is (520) 694-5437
This medical organization specializes in Nutritionist with taxonomy code 133NN1002X with a focus in Nutrition, Education
The provider's CLIA number is 03D2148533 for a "community clinic" 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 July 27, 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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