KODY MICHAEL DUCLOS RD, LD
NPI 1033748124
Dietitian, Registered - Nutrition, Pediatric in Boise, ID
NPI Status: Active since April 02, 2020
Contact Information
305 E JEFFERSON ST
BOISE, ID
ZIP 83712
Phone: (208) 381-7081
- Individual
- Male
- Dietitian, Registered
- Nutrition, Pediatric
- Accepts Insurance
About KODY DUCLOS
This page provides the complete NPI Profile along with additional information for Kody Duclos, a provider established in Boise, Idaho with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1033748124 assigned on April 2020. The practitioner's primary taxonomy code is 133VN1004X with license number 86117056 (ID). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1033748124
- Provider Name
- KODY MICHAEL DUCLOS RD, LD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 305 E JEFFERSON ST BOISE, ID 83712
- Location Phone
- (208) 381-7081
- Mailing Address
- 5176 W MERCURY CT BOISE, ID 83705
- Mailing Phone
- (208) 507-5656
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2020
- Last Update Date
- 04-02-2020
- 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 Nutrition, Pediatric
- Taxonomy Code
- 133VN1004X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86117056
- License State
- ID
- 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) |
|---|---|---|---|---|
| 1 | 133VN1301X | Dietary & Nutritional Service Providers | Dietitian, Registered | 86117056 (ID) |
| 2 | 133VN1401X | Dietary & Nutritional Service Providers | Dietitian, Registered | 86117056 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86117056 | OTHER (01) | ID | COMMISSION ON DIETETIC REGISTRATION |
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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 1033748124, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOISE, ID 83712
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033748124, enumerated as an "individual" on April 02, 2020.
The provider is located at 305 E JEFFERSON ST BOISE, ID 83712 and the phone number is (208) 381-7081.
Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.
The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.
