THOMAS SHANE MCMULLEN RD
NPI 1104608058
Dietitian, Registered in Pontotoc, MS
NPI Status: Active since October 16, 2023
Contact Information
353 HIGHWAY 15 N
PONTOTOC, MS
ZIP 38863
Phone: (662) 490-1985
Fax: (662) 490-1989
- Individual
- Male
- Dietitian, Registered
- Accepts Insurance
About THOMAS MCMULLEN
This page provides the complete NPI Profile along with additional information for Thomas Mcmullen, a provider established in Pontotoc, Mississippi with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1104608058 assigned on October 2023. The practitioner's primary taxonomy code is 133V00000X with license number D-2456 (MS). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1104608058
- Provider Name
- THOMAS SHANE MCMULLEN RD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 353 HIGHWAY 15 N PONTOTOC, MS 38863
- Location Phone
- (662) 490-1985
- Location Fax
- (662) 490-1989
- Mailing Address
- PO BOX 497 AUGUSTA, AR 72006
- Mailing Phone
- (870) 347-2534
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2023
- Last Update Date
- 10-16-2023
- 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
- License No.
- D-2456
- License State
- MS
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Catastrophic HSA - PPO
- Gold Standardized - PPO
- Gold Value - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze National - POS
- HA Gold Premier National - POS
- HA Gold Standardized - POS
- HA Platinum Premier National - POS
- HA Platinum Standardized - POS
- HA Silver AH - POS
- HA Silver Standardized - POS
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Classic National - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1104608058, we treat the final digit (8) 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
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 42 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104608058, enumerated as an "individual" on October 16, 2023.
The provider is located at 353 HIGHWAY 15 N PONTOTOC, MS 38863 and the phone number is (662) 490-1985.
Dietitian, Registered with taxonomy code 133V00000X.
The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.
