SAMANTHA ANN PARK
NPI 1134989866
Peer Specialist in Bismarck, ND
NPI Status: Active since March 20, 2024
Contact Information
1906 E BROADWAY AVE STE 1
BISMARCK, ND
ZIP 58501
Phone: (701) 415-6233
Fax: (833) 525-1920
- Individual
- Female
- Peer Specialist
About SAMANTHA PARK
This page provides the complete NPI Profile along with additional information for Samantha Park, a provider established in Bismarck, North Dakota with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1134989866 assigned on March 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1134989866
- Provider Name
- SAMANTHA ANN PARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1906 E BROADWAY AVE STE 1 BISMARCK, ND 58501
- Location Phone
- (701) 415-6233
- Location Fax
- (833) 525-1920
- Mailing Address
- 1906 E BROADWAY AVE STE 1 BISMARCK, ND 58501
- Mailing Phone
- (701) 415-6233
- Mailing Fax
- (833) 525-1920
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2024
- Last Update Date
- 03-20-2024
- 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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- ND
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | DUM00000 (ND) |
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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 | 9 | 8 | 9 | 8 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 18 | 8 | 18 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 8 + 8 + 1 + 8 + 8 + 1 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1134989866 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
JORDYN COOK
Case Manager/Care Coordinator
1906 E BROADWAY AVE STE 1
BISMARCK, ND
ZIP 58501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134989866, enumerated as an "individual" on March 20, 2024.
The provider is located at 1906 E BROADWAY AVE STE 1 BISMARCK, ND 58501 and the phone number is (701) 415-6233.
Peer Specialist with taxonomy code 175T00000X.
