MISS CASANDRA RENEE STIDHAM MS, RD, CSR, CCTD
NPI 1134803497
Dietitian, Registered - Nutrition, Renal in Philadelphia, PA
NPI Status: Active since June 14, 2023
Contact Information
2110 E NORRIS ST UNIT 301
PHILADELPHIA, PA
ZIP 19125
Phone: (812) 896-6236
- Individual
- Female
- Dietitian, Registered
- Nutrition, Renal
About CASANDRA STIDHAM
This page provides the complete NPI Profile along with additional information for Casandra Stidham, a provider established in Philadelphia, Pennsylvania with a medical specialization in Dietitian, Registered, focusing in nutrition, renal . The healthcare provider is registered in the NPI registry with number 1134803497 assigned on June 2023. The practitioner's primary taxonomy code is 133VN1005X with license number 86025925 (). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1134803497
- Provider Name
- MISS CASANDRA RENEE STIDHAM MS, RD, CSR, CCTD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2110 E NORRIS ST UNIT 301 PHILADELPHIA, PA 19125
- Location Phone
- (812) 896-6236
- Mailing Address
- 2110 E NORRIS ST UNIT 301 PHILADELPHIA, PA 19125
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-14-2023
- Last Update Date
- 06-14-2023
- 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 Nutrition, Renal
- Taxonomy Code
- 133VN1005X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86025925
- Taxonomy Description
- An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, 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 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 8 | 0 | 3 | 4 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 16 | 0 | 6 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 6 + 0 + 6 + 4 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1134803497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134803497, enumerated as an "individual" on June 14, 2023.
The provider is located at 2110 E NORRIS ST UNIT 301 PHILADELPHIA, PA 19125 and the phone number is (812) 896-6236.
Dietitian, Registered with taxonomy code 133VN1005X and a focus in Nutrition, Renal.
