DERMCARE & HEALTHCARE CLINIC, LLC
NPI 1053804740
Nurse Practitioner in Centralia, IL
NPI Status: Active since June 07, 2018
Contact Information
1007 M L KING DR STE 1
CENTRALIA, IL
ZIP 62801
Phone: (618) 918-2566
Fax: (618) 918-2565
- Organization
- Nurse Practitioner
About DERMCARE & HEALTHCARE CLINIC, LLC
This page provides the complete NPI Profile along with additional information for Dermcare & Healthcare Clinic, Llc, a provider established in Centralia, Illinois operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1053804740 assigned on June 2018. The practitioner's primary taxonomy code is 363L00000X with license number 209009665 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. Dermcare & Healthcare Clinic, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Dermatology And Medical Clinic, Llc. The authorized official of this NPI record is Tracy Dawn Arnold Np-c (Owner, Np-c)
- NPI
- 1053804740
- Provider Legal Name
- DERMCARE & HEALTHCARE CLINIC, LLC
- Other Organization Name
- DERMATOLOGY AND MEDICAL CLINIC, LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1007 M L KING DR STE 1 CENTRALIA, IL 62801
- Location Phone
- (618) 918-2566
- Location Fax
- (618) 918-2565
- Mailing Address
- 1007 M L KING DR STE 1 CENTRALIA, IL 62801
- Mailing Phone
- (618) 918-2566
- Mailing Fax
- (618) 918-2565
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2018
- Last Update Date
- 01-22-2020
- Code Navigator
A nurse practitioner (NP) like Dermcare & Healthcare Clinic, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209009665
- License State
- IL
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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.
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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 1053804740, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.
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 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053804740, enumerated as an "organization" on June 07, 2018.
The provider is located at 1007 M L KING DR STE 1 CENTRALIA, IL 62801 and the phone number is (618) 918-2566.
Nurse Practitioner with taxonomy code 363L00000X.
