MRS. SHIRLEY JEAN POOLE RD CSP LDN
NPI 1205960705
Dietitian, Registered - Nutrition, Pediatric in Rockford, IL
NPI Status: Active since March 15, 2007
Contact Information
1401 E STATE ST
ROCKFORD, IL
ZIP 61104
Phone: (815) 489-4667
Fax: (815) 964-5404
- Individual
- Female
- Dietitian, Registered
- Nutrition, Pediatric
About SHIRLEY POOLE
This page provides the complete NPI Profile along with additional information for Shirley Poole, a provider established in Rockford, Illinois with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1205960705 assigned on March 2007. The practitioner's primary taxonomy code is 133VN1004X. The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1205960705
- Provider Name
- MRS. SHIRLEY JEAN POOLE RD CSP LDN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1401 E STATE ST ROCKFORD, IL 61104
- Location Phone
- (815) 489-4667
- Location Fax
- (815) 964-5404
- Mailing Address
- 11249 CHANEY DR MACHESNEY PARK, IL 61115
- Mailing Phone
- (815) 489-4667
- Mailing Fax
- (815) 964-5404
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-15-2007
- Last Update Date
- 07-08-2007
- 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, Pediatric
- Taxonomy Code
- 133VN1004X
- Type
- Dietary & Nutritional Service Providers
- License State
- IL
- Taxonomy Description
- An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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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 1205960705, 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.
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205960705, enumerated as an "individual" on March 15, 2007.
The provider is located at 1401 E STATE ST ROCKFORD, IL 61104 and the phone number is (815) 489-4667.
Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.
