MS. WANDA LEE PETERSON LRD
NPI 1699793174
Dietitian, Registered in Fargo, ND

NPI Status: Active since July 17, 2006

Contact Information

2101 ELM ST N
FARGO, ND
ZIP 58102
Phone: (701) 232-3241

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  • Individual
  • Female
  • Dietitian, Registered

About WANDA PETERSON

This page provides the complete NPI Profile along with additional information for Wanda Peterson, a provider established in Fargo, North Dakota with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1699793174 assigned on July 2006. The practitioner's primary taxonomy code is 133V00000X with license number 80 (ND). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1699793174
Provider Name
MS. WANDA LEE PETERSON LRD
Gender
Female
Entity Type
Individual
Location Address
2101 ELM ST N FARGO, ND 58102
Location Phone
(701) 232-3241
Mailing Address
3537 PAR ST N FARGO, ND 58102
Mailing Phone
(701) 293-6059
Is Sole Proprietor?
No
Enumeration Date
07-17-2006
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.
80
License State
ND
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.

*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
80OTHER (01)NDSTATE LICENSURE

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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.
1699793174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891496114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 9 + 6 + 1 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1699793174 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346212479DR. BRADLEY MARK KASSON DDS
Individual
Dentist (General Practice)2101 ELM ST N
FARGO, ND 58102
(701) 239-3700
1194784918MR. JAMES ALAN BERGLUND PA-C
Individual
Physician Assistant2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1922064633DR. NATHAN L. VETTER OD
Individual
Optometrist2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1649238122DR. GREGORY H VAN GELDEREN MD
Individual
Emergency Medicine2101 ELM ST N EMERGENCY DEPARTMENT
FARGO, ND 58102
(701) 239-3700
1043269004 ROLAND LASS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2101 ELM ST N
FARGO, ND 58102
(701) 239-3700
1538118401 GLENN J SHAMDAS MD
Individual
Internal Medicine (Hematology & Oncology)2101 ELM ST N VAMC
FARGO, ND 58102
(701) 232-3241
1639128515DR. DAVID RAYMOND GELBART MD
Individual
Internal Medicine (Nephrology)2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1659321073DR. MARK OLOF JENSEN M.D.
Individual
Surgery2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1720037153DR. WILLIAM ELKO KRIVARCHKA D.D.S.
Individual
Dentist2101 ELM ST N
FARGO, ND 58102
(701) 239-3700
1528018348MR. MICHAEL DEAN VERHEY PA-C
Individual
Physician Assistant (Medical)2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1548210511 THOMAS MUSACCHIA
Individual
Surgery2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1952351785DR. RICHARD ROBERT LARAWAY M.D.
Individual
Internal Medicine2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1043260888MR. BRUCE HENRY WESSMAN PT
Individual
Physical Therapist2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1972553675MR. RONNIE LEE LOMSDAL CRNA
Individual
Nurse Anesthetist, Certified Registered2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1497706725 BARBARA J HAMPLE PA-C
Individual
Physician Assistant2101 ELM ST N
FARGO, ND 58102
(701) 239-3700
1023068699DR. CHARLES RICHARD HARTZ M.D.
Individual
Orthopaedic Surgery (Hand Surgery)2101 ELM ST N
FARGO, ND 58102
(701) 239-3700
1477504660MR. JOEL KENT VANCE CRNA
Individual
Nurse Anesthetist, Certified Registered2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1346291382MS. SUSAN MARIE HARRIS APRN
Individual
Nurse Practitioner2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1992757108MR. GARY ROLAND EBEL CRNA
Individual
Nurse Anesthetist, Certified Registered2101 ELM ST N
FARGO, ND 58102
(701) 232-3241
1467405720 VICTORIA LERUD PT
Individual
Physical Therapist2101 ELM ST N
FARGO, ND 58102
(701) 239-3744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699793174, enumerated in the NPI registry as an "individual" on July 17, 2006

The provider is located at 2101 Elm St N Fargo, Nd 58102 and the phone number is (701) 232-3241

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

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 July 17, 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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