JACQUELYN NIELSEN
NPI 1710350012
Clinic/Center - Health Service in Fort Collins, CO

NPI Status: Active since November 09, 2015

Contact Information

1101 OAKRIDGE DR
SUITE B
FORT COLLINS, CO
ZIP 80525
Phone: (970) 622-9997
Fax: (970) 667-8383

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  • Organization
  • Clinic/Center
  • Health Service

About JACQUELYN NIELSEN

This page provides the complete NPI Profile along with additional information for Jacquelyn Nielsen, a provider established in Fort Collins, Colorado operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1710350012 assigned on November 2015. The practitioner's primary taxonomy code is 261QH0100X with license number R708546 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Jacquelyn Nielsen. The authorized official of this NPI record is Ms. Jacquelyn Jo Nielsen Ms, Rd, Cde (Owner)

NPI
1710350012
Provider Legal Name
PARTNERS IN NUTRITION, LLC
Other Organization Name
JACQUELYN NIELSEN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1101 OAKRIDGE DR SUITE B FORT COLLINS, CO 80525
Location Phone
(970) 622-9997
Location Fax
(970) 667-8383
Mailing Address
1907 HILLROSE DR LOVELAND, CO 80538
Mailing Phone
(970) 622-9997
Mailing Fax
(970) 667-8383
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2015
Last Update Date
11-09-2015
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
R708546
License State
CO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JACQUELYN JO NIELSEN MS, RD, CDE

Authorized Official Title
OWNER
Authorized Official Phone
(970) 622-9997

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
C452618MEDICARE UPIN (02)CO 

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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.
1710350012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272065002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 5 + 0 + 0 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1710350012 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407953581ST LUKES MEDICAL CLINIC LLC
Organization
Internal Medicine1101 OAKRIDGE DR SUITE B
FORT COLLINS, CO 80525
(970) 223-1199
1801039862ULTIMATE EXPRESSION LLC
Organization
Chiropractor1101 OAKRIDGE DR SUITE A
FORT COLLINS, CO 80525
(970) 226-1117
1326145491MRS. PATRICIA THERESE LIPINSKI FNP
Individual
Nurse Practitioner (Family)1101 OAKRIDGE DR SUITE B
FORT COLLINS, CO 80525
(970) 223-1199
1700487675LAKE LOVELAND DERMATOLOGY PC
Organization
Dermatology1101 OAKRIDGE DR
FORT COLLINS, CO 80525
(970) 667-3116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710350012, enumerated in the NPI registry as an "organization" on November 09, 2015

The provider is located at 1101 Oakridge Dr Suite B Fort Collins, Co 80525 and the phone number is (970) 622-9997

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

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 November 09, 2015. 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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