CUSTOM FIT NUTRITION, LLC
NPI 1780851790
Dietitian, Registered in Maple Valley, WA

NPI Status: Active since May 09, 2008

Contact Information

21230 SE 270TH ST
MAPLE VALLEY, WA
ZIP 98038
Phone: (206) 295-6810
Fax: (877) 532-1805

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  • Organization
  • Dietitian, Registered
  • Accepts Insurance

About CUSTOM FIT NUTRITION, LLC

This page provides the complete NPI Profile along with additional information for Custom Fit Nutrition, Llc, a provider established in Maple Valley, Washington operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1780851790 assigned on May 2008. The practitioner's primary taxonomy code is 133V00000X with license number DI00002000 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Joy D. Supplee M.s., R.d., C.d. (Owner)

NPI
1780851790
Provider Name
CUSTOM FIT NUTRITION, LLC
Entity Type
Organization
Location Address
21230 SE 270TH ST MAPLE VALLEY, WA 98038
Location Phone
(206) 295-6810
Location Fax
(877) 532-1805
Mailing Address
21230 SE 270TH ST MAPLE VALLEY, WA 98038
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2008
Last Update Date
05-09-2008
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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.
DI00002000
License State
WA
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*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

JOY D. SUPPLEE M.S., R.D., C.D.

Authorized Official Title
OWNER
Authorized Official Phone
(206) 295-6810

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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.
1780851790
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601652718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 5 + 2 + 7 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780851790 is valid because the calculated check digit 0 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 1780851790, enumerated in the NPI registry as an "organization" on May 09, 2008

The provider is located at 21230 Se 270th St Maple Valley, Wa 98038 and the phone number is (206) 295-6810

This medical organization specializes in Dietitian, Registered with taxonomy code 133V00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. 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, 2008. 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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