LAVERNE A SULLIVAN RD
NPI 1023045200
Dietitian, Registered in Fort Wayne, IN

NPI Status: Active since June 26, 2006

Contact Information

4210 FLAGSTAFF CV
FORT WAYNE, IN
ZIP 46815
Phone: (260) 489-9009
Fax: (260) 489-5057

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  • Individual
  • Female
  • Dietitian, Registered

About LAVERNE SULLIVAN

This page provides the complete NPI Profile along with additional information for Laverne Sullivan, a provider established in Fort Wayne, Indiana with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1023045200 assigned on June 2006. The practitioner's primary taxonomy code is 133V00000X with license number 37000748A (IN). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1023045200
Provider Name
LAVERNE A SULLIVAN RD
Gender
Female
Entity Type
Individual
Location Address
4210 FLAGSTAFF CV FORT WAYNE, IN 46815
Location Phone
(260) 489-9009
Location Fax
(260) 489-5057
Mailing Address
5244 JEFFRIES LANE NEWBURGH, IN 47630
Mailing Phone
(812) 454-1710
Mailing Fax
(260) 489-5057
Is Sole Proprietor?
No
Enumeration Date
06-26-2006
Last Update Date
07-01-2014
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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.
37000748A
License State
IN
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.

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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 1023045200, 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 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
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 2 → 4 0 → 0 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 0 + 4 + 1 + 0 + 2 + 0 + 24 = 40

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

The next multiple of ten after 40 is 40. The difference is the calculated check digit.

40 - 40 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1023045200.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Hospice Care, Community Based
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Dietitian, Registered (Nutrition, Renal)
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023045200, enumerated as an "individual" on June 26, 2006.

The provider is located at 4210 FLAGSTAFF CV FORT WAYNE, IN 46815 and the phone number is (260) 489-9009.

Dietitian, Registered with taxonomy code 133V00000X.