SAMANTHA J VANDER BLOOMEN RD
NPI 1275969420
Dietitian, Registered in La Crosse, WI
NPI Status: Active since September 19, 2013
Contact Information
700 WEST AVE S
LA CROSSE, WI
ZIP 54601
Phone: (608) 758-0940
- Individual
- Female
- Dietitian, Registered
About SAMANTHA VANDER BLOOMEN
This page provides the complete NPI Profile along with additional information for Samantha Vander Bloomen, a provider established in La Crosse, Wisconsin with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1275969420 assigned on September 2013. The practitioner's primary taxonomy code is 133V00000X with license number 2658 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1275969420
- Provider Name
- SAMANTHA J VANDER BLOOMEN RD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 700 WEST AVE S LA CROSSE, WI 54601
- Location Phone
- (608) 758-0940
- Mailing Address
- 200 1ST ST SW ROCHESTER, MN 55905
- Mailing Phone
- (608) 785-0940
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2013
- Last Update Date
- 02-07-2025
- Code Navigator
Location Map
Secondary Locations
- 2520 Elisha Ave
Zion, IL 60099
(847) 731-5075 - 1050 Division St
Mauston, WI 53948
(608) 847-6161
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.
- 2658
- License State
- WI
- 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) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 164.006887 (IL) |
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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 1275969420, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. 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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
LACROSSE, WI 54601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275969420, enumerated as an "individual" on September 19, 2013.
The provider is located at 700 WEST AVE S LA CROSSE, WI 54601 and the phone number is (608) 758-0940.
Dietitian, Registered with taxonomy code 133V00000X.
