BRIDGES
NPI 1245305804
Dietitian, Registered in Evanston, WY

NPI Status: Active since November 21, 2006

Contact Information

100 BEAR RIVER DR
EVANSTON, WY
ZIP 82930
Phone: (307) 789-0664
Fax: (307) 789-1902

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  • Organization
  • Dietitian, Registered

About BRIDGES

This page provides the complete NPI Profile along with additional information for Bridges, a provider established in Evanston, Wyoming operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1245305804 assigned on November 2006. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Bridges operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Bridges. The authorized official of this NPI record is Mr. David M. Canen (Ceo)

NPI
1245305804
Provider Legal Name
BRIDGES HABILITATION SERVICES INC.
Other Organization Name
BRIDGES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
100 BEAR RIVER DR EVANSTON, WY 82930
Location Phone
(307) 789-0664
Location Fax
(307) 789-1902
Mailing Address
PO BOX 1642 EVANSTON, WY 82931
Mailing Phone
(307) 789-0664
Mailing Fax
(307) 789-1902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
08-22-2020
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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 State
WY
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.

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)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID M. CANEN

Authorized Official Title
CEO
Authorized Official Phone
(307) 789-0664

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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.
1245305804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285601080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 0 + 1 + 0 + 8 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1245305804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DAVID CANEN

Case Manager/Care Coordinator

100 BEAR RIVER DR
EVANSTON, WY
ZIP 82930

(307) 789-0664

G. KAY JESSEN

Case Manager/Care Coordinator

100 BEAR RIVER DR
EVANSTON, WY
ZIP 82930

(307) 789-0664

MATHEW REDGE FLAKE

Case Manager/Care Coordinator

100 BEAR RIVER DR
EVANSTON, WY
ZIP 82930

(307) 789-0664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245305804, enumerated as an "organization" on November 21, 2006.

The provider is located at 100 BEAR RIVER DR EVANSTON, WY 82930 and the phone number is (307) 789-0664.

Dietitian, Registered with taxonomy code 133V00000X.