KONNIE SUE LUCZAK RD, LD
NPI 1114359205
Dietitian, Registered in Woodbury, MN

NPI Status: Active since July 31, 2013

Contact Information

237 RADIO DR STE 210
WOODBURY, MN
ZIP 55125
Phone: (612) 871-1145
Fax: (612) 870-5491

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  • Individual
  • Female
  • Dietitian, Registered
  • Accepts Insurance

About KONNIE LUCZAK

This page provides the complete NPI Profile along with additional information for Konnie Luczak, a provider established in Woodbury, Minnesota with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1114359205 assigned on July 2013. The practitioner's primary taxonomy code is 133V00000X with license number 3245 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1114359205
Provider Name
KONNIE SUE LUCZAK RD, LD
Gender
Female
Entity Type
Individual
Location Address
237 RADIO DR STE 210 WOODBURY, MN 55125
Location Phone
(612) 871-1145
Location Fax
(612) 870-5491
Mailing Address
1900 CENTRACARE CIR CENTRACARE CLINIC HEALTH PLAZA SAINT CLOUD, MN 56303
Mailing Phone
(320) 229-4916
Mailing Fax
(612) 870-5491
Is Sole Proprietor?
No
Enumeration Date
07-31-2013
Last Update Date
04-05-2022
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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

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
3245
License State
MN
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:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*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 1114359205, 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
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
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 3 → 6 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 5 + 1 + 8 + 2 + 0 + 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 1114359205.

Other Providers at the Same Location


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

Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125
Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125
Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
SAINT PAUL, MN 55125
Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125
Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125
Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125
Internal Medicine (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125
Nurse Practitioner (Family)
237 RADIO DR STE 210
WOODBURY, MN 55125
Registered Nurse (Gastroenterology)
237 RADIO DR STE 210
WOODBURY, MN 55125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114359205, enumerated as an "individual" on July 31, 2013.

The provider is located at 237 RADIO DR STE 210 WOODBURY, MN 55125 and the phone number is (612) 871-1145.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.