FUNCTIONAL WELLNESS
NPI 1861920720
Nutritionist in Redlands, CA

NPI Status: Active since May 23, 2017

Contact Information

112 E OLIVE AVE STE F
REDLANDS, CA
ZIP 92373
Phone: (909) 810-0858

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  • Organization
  • Nutritionist

About FUNCTIONAL WELLNESS

This page provides the complete NPI Profile along with additional information for Functional Wellness, a provider established in Redlands, California operating as a Nutritionist. The healthcare provider is registered in the NPI registry with number 1861920720 assigned on May 2017. The practitioner's primary taxonomy code is 133N00000X. The provider is registered as an organization and their NPI record was last updated 6 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 provider's is doing business as Functional Wellness. The authorized official of this NPI record is Mr. Jan Kielmann Ms, Cns, Ifmcp (President)

NPI
1861920720
Provider Legal Name
NATURAL HEALTH
Other Organization Name
FUNCTIONAL WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
112 E OLIVE AVE STE F REDLANDS, CA 92373
Location Phone
(909) 810-0858
Mailing Address
10600 HIGHLAND SPRINGS AVE CHERRY VALLEY, CA 92223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2017
Last Update Date
09-19-2019
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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

Nutritionist

Taxonomy Code
133N00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

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)
1133NN1002XDietary & Nutritional Service Providers

Nutritionist
Nutrition, Education

 
2174H00000XOther Service Providers

Health Educator

 
3261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
4261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

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.

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

MR. JAN KIELMANN MS, CNS, IFMCP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 810-0858

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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.
1861920720
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121182074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 8 + 2 + 0 + 7 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1861920720 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740647593MR. JAN KIELMANN MS, CNS, IFMCP
Individual
Nutritionist112 E OLIVE AVE STE F
REDLANDS, CA 92373
(909) 810-0858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861920720, enumerated in the NPI registry as an "organization" on May 23, 2017

The provider is located at 112 E Olive Ave Ste F Redlands, Ca 92373 and the phone number is (909) 810-0858

This medical organization specializes in Nutritionist with taxonomy code 133N00000X

This NPI record was last updated on May 23, 2017. 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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