NORTHEAST MISSOURI HEALTH COUNCIL, INC
NPI 1972127827
Dietitian, Registered in Kirksville, MO
NPI Status: Active since June 05, 2020
Contact Information
1506 CROWN DR
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 627-4493
Fax: (660) 627-4288
- Organization
- Dietitian, Registered
- CLIA Number: 26D0953184
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 05-08-2026
About NORTHEAST MISSOURI HEALTH COUNCIL, INC
This page provides the complete NPI Profile along with additional information for Northeast Missouri Health Council, Inc, a provider established in Kirksville, Missouri operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1972127827 assigned on June 2020. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 5 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 Andrew Grimm (Ceo)
- NPI
- 1972127827
- Provider Name
- NORTHEAST MISSOURI HEALTH COUNCIL, INC
- Entity Type
- Organization
- Location Address
- 1506 CROWN DR KIRKSVILLE, MO 63501
- Location Phone
- (660) 627-4493
- Location Fax
- (660) 627-4288
- Mailing Address
- 1506 CROWN DR KIRKSVILLE, MO 63501
- Mailing Phone
- (660) 627-4493
- Mailing Fax
- (660) 627-4288
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2020
- Last Update Date
- 06-05-2020
- 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
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0953184
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- May 09, 2024
- Certificate Expiration Date
- May 08, 2026
- Laboratory Director
- HEATHER MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northeast Missouri Health Council, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 9 | 7 | 2 | 1 | 2 | 7 | 8 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 2 | 2 | 14 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 2 + 2 + 1 + 4 + 8 + 4 + 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 1972127827 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 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265758395 | SHANNON M HATFIELD FNP Individual | Nurse Practitioner (Family) | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1316922214 | MELANIE S. GRGURICH D.O. Individual | Family Medicine | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1720064413 | MARGARET WILSON DO Individual | Family Medicine | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1528031770 | JOSEPH W NOVINGER D.O. Individual | Family Medicine | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1427123942 | MS. KELLY MCDERMOTT FREELAND ARNP Individual | Nurse Practitioner (Family) | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1962853101 | JENNIFER A JACKSON BSN, RN, CDE Individual | Registered Nurse (Diabetes Educator) | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1023563632 | FRANCHESCA L COOK P.A. Individual | Physician Assistant | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1083129167 | KEELY DYAN SCHOONOVER FNP Individual | Nurse Practitioner (Family) | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1902436850 | AMY CARROLL Individual | Health Educator | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1700122769 | JENNIFER L WALKER RN Individual | Registered Nurse | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1154919728 | SASHA ROBINSON RN Individual | Health Educator | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1093464745 | CASSIE MARIE TILTON NP-C Individual | Nurse Practitioner | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1710669486 | ALLISON NICHOLE EDWARDS RD Individual | Dietitian, Registered | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
| 1356802649 | MATTHEW RYAN TILTON DO Individual | Family Medicine | 1506 CROWN DR KIRKSVILLE, MO 63501 (660) 627-4493 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972127827, enumerated in the NPI registry as an "organization" on June 05, 2020
The provider is located at 1506 Crown Dr Kirksville, Mo 63501 and the phone number is (660) 627-4493
This medical organization specializes in Dietitian, Registered with taxonomy code 133V00000X
The provider's CLIA number is 26D0953184 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 05, 2020. 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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