BROOKE ANN MARIE DECELLES MS, RD, CDN
NPI 1770171191
Dietitian, Registered in Potsdam, NY
NPI Status: Active since January 03, 2021
Contact Information
200 MARKET STREET
STE 5 PMB 112
POTSDAM, NY
ZIP 13676
Phone: (315) 528-4711
- Individual
- Female
- Dietitian, Registered
About BROOKE DECELLES
This page provides the complete NPI Profile along with additional information for Brooke Decelles, a provider established in Potsdam, New York with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1770171191 assigned on January 2021. The practitioner's primary taxonomy code is 133V00000X with license number 010313-01 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1770171191
- Provider Name
- BROOKE ANN MARIE DECELLES MS, RD, CDN
- Other Name
- MRS. BROOKE ANN MARIE DECELLES RD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 MARKET STREET STE 5 PMB 112 POTSDAM, NY 13676
- Location Phone
- (315) 528-4711
- Mailing Address
- 200 MARKET STREET STE 5 PMB 112 POTSDAM, NY 13676
- Mailing Phone
- (315) 528-4711
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-03-2021
- Last Update Date
- 08-15-2024
- Code Navigator
Location Map
Secondary Locations
- 10 Main Street
Waddington, NY 13694
(315) 528-4711 - 55 Union Place PMB 260
Summit, NJ 07901
(315) 528-4711
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.
- 010313-01
- License State
- NY
- 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 | 01031301 (NY) |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | DN007980 (PA) |
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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 | 7 | 0 | 1 | 7 | 1 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 2 | 7 | 2 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 2 + 7 + 2 + 1 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1770171191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770171191, enumerated in the NPI registry as an "individual" on January 03, 2021
The provider is located at 200 Market Street Ste 5 Pmb 112 Potsdam, Ny 13676 and the phone number is (315) 528-4711
The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X
This NPI record was last updated on January 03, 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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