CHILDRENS HOSPITAL CLINICAL NUTRITION
NPI 1003061680
Dietitian, Registered - Nutrition, Pediatric in Omaha, NE

NPI Status: Active since November 24, 2008

Contact Information

8200 DODGE ST
OMAHA, NE
ZIP 68114
Phone: (402) 955-5400

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  • Organization
  • Dietitian, Registered
  • Nutrition, Pediatric
  • Accepts Insurance
  • CLIA Number: 28D2231746
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-04-2027

About CHILDRENS HOSPITAL CLINICAL NUTRITION

This page provides the complete NPI Profile along with additional information for Childrens Hospital Clinical Nutrition, a provider established in Omaha, Nebraska operating as a Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1003061680 assigned on November 2008. The practitioner's primary taxonomy code is 133VN1004X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Childrens Hospital Clinical Nutrition operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Childrens Hospital Clinical Nutrition. The authorized official of this NPI record is Chanda Chacon (President & Ceo)

NPI
1003061680
Provider Legal Name
CHILDRENS HOSPITAL & MEDICAL CENTER
Other Organization Name
CHILDRENS HOSPITAL CLINICAL NUTRITION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8200 DODGE ST OMAHA, NE 68114
Location Phone
(402) 955-5400
Mailing Address
8200 DODGE ST OMAHA, NE 68114
Mailing Phone
(402) 955-5400
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-24-2008
Last Update Date
08-11-2022
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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 Nutrition, Pediatric

Taxonomy Code
133VN1004X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

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)
1163WD0400XNursing Service Providers

Registered Nurse
Diabetes Educator

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Vision - EPO
  • HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold 1000 Blueprint Health w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Gold 1000 Premier Select BlueChoice w/ Adult Vision - EPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*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

CHANDA CHACON

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(402) 955-6826

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
28D2231746
Facility Type
Community Clinic
Certificate Effective Date
August 05, 2025
Certificate Expiration Date
August 04, 2027
Laboratory Director
DR. NICOLE N. HARTER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Childrens Hospital Clinical Nutrition in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003061680, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 6 + 2 + 6 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003061680.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
8200 DODGE ST, CHILDREN'S HOSPITAL - HOSPITALISTS
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Physician Assistant
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Endocrinology)
8200 DODGE ST, 2ND FLR SCOTT PAVILION
OMAHA, NE 68114
Occupational Therapist
8200 DODGE ST, REHAB SERVICES
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST, CHILDRENS HOSPITAL
OMAHA, NE 68114
Pediatrics (Pediatric Critical Care Medicine)
8200 DODGE ST, CHILDRENS HOSPITAL - CRITICAL CARE
OMAHA, NE 68114
Pediatrics (Pediatric Critical Care Medicine)
8200 DODGE ST, CHILDRENS HOSPITAL - CRITICAL CARE
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Critical Care Medicine)
8200 DODGE ST, CHILDRENS HOSPITAL - CRITICAL CARE
OMAHA, NE 68114
Pediatrics (Pediatric Critical Care Medicine)
8200 DODGE ST, CHILDRENS HOSPITAL - CRITICAL CARE
OMAHA, NE 68114
Pediatrics (Pediatric Critical Care Medicine)
8200 DODGE ST, CHILDRENS HOSPITAL - CRITICAL CARE
OMAHA, NE 68114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003061680, enumerated as an "organization" on November 24, 2008.

The provider is located at 8200 DODGE ST OMAHA, NE 68114 and the phone number is (402) 955-5400.

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska and Medica. Please consult your insurance carrier or call the provider to verify.