HAVASU REGIONAL MEDICAL CENTER
NPI 1063511962
Dietitian, Registered in Lake Havasu City, AZ
NPI Status: Active since September 21, 2006
Contact Information
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-8185
Fax: (928) 505-5768
- Organization
- Dietitian, Registered
- CLIA Number: 03D0534325
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 08-16-2027
About HAVASU REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Havasu Regional Medical Center, a provider established in Lake Havasu City, Arizona operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1063511962 assigned on September 2006. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Havasu Regional Medical Center 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 Havasu Regional Medical Center. The authorized official of this NPI record is Charlotte Lawrence (Secretary)
- NPI
- 1063511962
- Provider Legal Name
- HAVASU REGIONAL MEDICAL CENTER LLC
- Other Organization Name
- HAVASU REGIONAL MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 101 CIVIC CENTER LN LAKE HAVASU CITY, AZ 86403
- Location Phone
- (928) 855-8185
- Location Fax
- (928) 505-5768
- Mailing Address
- 330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
- Mailing Phone
- (615) 920-7000
- Mailing Fax
- (928) 505-5768
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2006
- Last Update Date
- 07-31-2023
- 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.
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 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology |
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.
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
- 03D0534325
- Facility Type
- Hospital
- Certificate Effective Date
- August 17, 2025
- Certificate Expiration Date
- August 16, 2027
- Laboratory Director
- RYAN SWAPP
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Havasu Regional Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1063511962, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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 48 is 50. 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.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063511962, enumerated as an "organization" on September 21, 2006.
The provider is located at 101 CIVIC CENTER LN LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 855-8185.
Dietitian, Registered with taxonomy code 133V00000X.
