MRS. JEQUITHIA L SIMS NDTR
NPI 1104629617
Dietetic Technician, Registered in Grand Prairie, TX
NPI Status: Active since March 31, 2025
Contact Information
2952 TRAIL LAKE DR
GRAND PRAIRIE, TX
ZIP 75054
Phone: (214) 687-7203
- Individual
- Female
- Dietetic Technician, Registered
About JEQUITHIA SIMS
This page provides the complete NPI Profile along with additional information for Jequithia Sims, a provider established in Grand Prairie, Texas with a medical specialization in Dietetic Technician, Registered. The healthcare provider is registered in the NPI registry with number 1104629617 assigned on March 2025. The practitioner's primary taxonomy code is 136A00000X with license number 86170507 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104629617
- Provider Name
- MRS. JEQUITHIA L SIMS NDTR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2952 TRAIL LAKE DR GRAND PRAIRIE, TX 75054
- Location Phone
- (214) 687-7203
- Mailing Address
- 2952 TRAIL LAKE DR GRAND PRAIRIE, TX 75054
- Mailing Phone
- (214) 687-7203
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-31-2025
- Last Update Date
- 03-31-2025
- 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
Dietetic Technician, Registered
- Taxonomy Code
- 136A00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86170507
- License State
- TX
- Taxonomy Description
- A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.
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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 1104629617, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104629617, enumerated as an "individual" on March 31, 2025.
The provider is located at 2952 TRAIL LAKE DR GRAND PRAIRIE, TX 75054 and the phone number is (214) 687-7203.
Dietetic Technician, Registered with taxonomy code 136A00000X.