SUSAN HERRLICH SHACKLETT
NPI 1730393067
Dietitian, Registered in Dalton, GA
NPI Status: Active since May 09, 2007
Contact Information
808 PROFESSIONAL BLVD
DALTON, GA
ZIP 30720
Phone: (706) 281-2228
- Individual
- Female
- Dietitian, Registered
About SUSAN SHACKLETT
This page provides the complete NPI Profile along with additional information for Susan Shacklett, a provider established in Dalton, Georgia with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1730393067 assigned on May 2007. The practitioner's primary taxonomy code is 133V00000X with license number LD002865 (GA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1730393067
- Provider Name
- SUSAN HERRLICH SHACKLETT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 808 PROFESSIONAL BLVD DALTON, GA 30720
- Location Phone
- (706) 281-2228
- Mailing Address
- 801 ATKINSON DR DALTON, GA 30720
- Mailing Phone
- (706) 275-0734
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2007
- Last Update Date
- 07-08-2007
- 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
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- LD002865
- License State
- GA
- 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.
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 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 1856 (TN) |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 47092D |
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 |
|---|---|---|---|
| 71BBBRK | MEDICARE ID-TYPE UNSPECIFIED (04) | GA |
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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 | 7 | 3 | 0 | 3 | 9 | 3 | 0 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 6 | 9 | 6 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 6 + 9 + 6 + 0 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1730393067 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295738573 | DR. NANCY LAMPKIN WILLIAMS D.D.S. Individual | Dentist (Dental Public Health) | 808 PROFESSIONAL BLVD DALTON, GA 30720 (706) 281-2316 |
| 1093854317 | MRS. ROBIN DIANE HURTT FNP Individual | Nurse Practitioner (Family) | 808 PROFESSIONAL BLVD DALTON, GA 30720 (706) 281-2273 |
| 1740329077 | MRS. KARA ALLISON COOK APRN BC Individual | Nurse Practitioner (Family) | 808 PROFESSIONAL BLVD DALTON, GA 30720 (706) 226-5446 |
| 1497894067 | DIANNE H WEYER NP Individual | Nurse Practitioner | 808 PROFESSIONAL BLVD WHITFIELD CO BOARD OF HEALTH THE LIVING BRIDGE CENTER DALTON, GA 30720 (706) 281-2360 |
| 1689713257 | MRS. CAROL S NICHOLS NP Individual | Nurse Practitioner (Family) | 808 PROFESSIONAL BLVD DALTON, GA 30720 (706) 226-2621 |
| 1023232188 | JOY BERNICE WHALEY NP Individual | Nurse Practitioner (Women's Health) | 808 PROFESSIONAL BLVD DALTON, GA 30720 (706) 226-2621 |
| 1326267261 | DR. TOBY JOHNSON CLARKSON DMD Individual | Dentist (Dental Public Health) | 808 PROFESSIONAL BLVD DALTON, GA 30720 (706) 281-2206 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730393067, enumerated in the NPI registry as an "individual" on May 09, 2007
The provider is located at 808 Professional Blvd Dalton, Ga 30720 and the phone number is (706) 281-2228
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 May 09, 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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