MRS. KIMBERLY ANN WAGNER
NPI 1114237575
Licensed Practical Nurse in Lebanon, IL

NPI Status: Active since October 19, 2010

Contact Information

1 PERRYMAN ST
LEBANON, IL
ZIP 62254
Phone: (618) 537-6165

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  • Individual
  • Female
  • Licensed Practical Nurse

About KIMBERLY WAGNER

This page provides the complete NPI Profile along with additional information for Kimberly Wagner, a provider established in Lebanon, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1114237575 assigned on October 2010. The practitioner's primary taxonomy code is 164W00000X with license number 043.085404 (IL). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1114237575
Provider Name
MRS. KIMBERLY ANN WAGNER
Gender
Female
Entity Type
Individual
Location Address
1 PERRYMAN ST LEBANON, IL 62254
Location Phone
(618) 537-6165
Mailing Address
1 PERRYMAN ST LEBANON, IL 62254
Is Sole Proprietor?
No
Enumeration Date
10-19-2010
Last Update Date
10-19-2010
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
043.085404
License State
IL
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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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 1114237575, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 4 + 3 + 1 + 4 + 5 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1114237575.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physical Therapy Assistant
1 PERRYMAN ST
LEBANON, IL 62254
Speech-Language Pathologist
1 PERRYMAN ST
LEBANON, IL 62254
Physical Therapist
1 PERRYMAN ST
LEBANON, IL 62254
Skilled Nursing Facility
1 PERRYMAN ST
LEBANON, IL 62254
Internal Medicine
1 PERRYMAN ST
LEBANON, IL 62254
Skilled Nursing Facility
1 PERRYMAN ST
LEBANON, IL 62254
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1 PERRYMAN ST
LEBANON, IL 62254
Non-emergency Medical Transport (VAN)
1 PERRYMAN ST
LEBANON, IL 62254
Physical Therapist
1 PERRYMAN ST
LEBANON, IL 62254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114237575, enumerated as an "individual" on October 19, 2010.

The provider is located at 1 PERRYMAN ST LEBANON, IL 62254 and the phone number is (618) 537-6165.

Licensed Practical Nurse with taxonomy code 164W00000X.