EASTSIDE HEALTH & WELLNESS
NPI 1316662901
Nurse Practitioner - Family in Raytown, MO

NPI Status: Active since October 06, 2022

Contact Information

8801 E 63RD ST STE 102
RAYTOWN, MO
ZIP 64133
Phone: (816) 255-0837

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 26D2271938
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-10-2027

About EASTSIDE HEALTH & WELLNESS

This page provides the complete NPI Profile along with additional information for Eastside Health & Wellness, a provider established in Raytown, Missouri operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1316662901 assigned on October 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eastside Health & Wellness. The authorized official of this NPI record is Nicole Hamilton Fnp (Owner)

NPI
1316662901
Provider Legal Name
NDH MEDICARE RISK ASSESSMENT LLC
Other Organization Name
EASTSIDE HEALTH & WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8801 E 63RD ST STE 102 RAYTOWN, MO 64133
Location Phone
(816) 255-0837
Mailing Address
303 NW CENTRAL ST LEES SUMMIT, MO 64063
Mailing Phone
(816) 255-0837
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2022
Last Update Date
12-04-2024
Code Navigator

A nurse practitioner (NP) like Eastside Health & Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

NICOLE HAMILTON FNP

Authorized Official Title
OWNER
Authorized Official Phone
(816) 255-0837

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2271938
Facility Type
Practitioner Other
Certificate Effective Date
May 11, 2025
Certificate Expiration Date
May 10, 2027
Laboratory Director
NICOLE HAMILTON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Eastside Health & Wellness in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1316662901, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 6 → 12 → 3 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 2 + 6 + 4 + 9 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1316662901.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
8801 E 63RD ST STE 102
RAYTOWN, MO 64133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316662901, enumerated as an "organization" on October 06, 2022.

The provider is located at 8801 E 63RD ST STE 102 RAYTOWN, MO 64133 and the phone number is (816) 255-0837.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.