MRS. SHANNON MOONEY WICKMAN RD, LDN, CSOWM
NPI 1356423024
Dietitian, Registered - Nutrition, Obesity and Weight Management in Kennebunk, ME
NPI Status: Active since October 20, 2006
Contact Information
72 MAIN ST
KENNEBUNK, ME
ZIP 04043
Phone: (207) 467-8825
Fax: (207) 467-8811
- Individual
- Female
- Dietitian, Registered
- Nutrition, Obesity and Weight Management
About SHANNON WICKMAN
This page provides the complete NPI Profile along with additional information for Shannon Wickman, a provider established in Kennebunk, Maine with a medical specialization in Dietitian, Registered, focusing in nutrition, obesity and weight management . The healthcare provider is registered in the NPI registry with number 1356423024 assigned on October 2006. The practitioner's primary taxonomy code is 133VN1201X with license number DI1082 (ME). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1356423024
- Provider Name
- MRS. SHANNON MOONEY WICKMAN RD, LDN, CSOWM
- Other Name
- MS. SHANNON MARGARET MOONEY RD, LDN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 72 MAIN ST KENNEBUNK, ME 04043
- Location Phone
- (207) 467-8825
- Location Fax
- (207) 467-8811
- Mailing Address
- 72 MAIN ST KENNEBUNK, ME 04043
- Mailing Phone
- (207) 467-8825
- Mailing Fax
- (207) 467-8811
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-20-2006
- Last Update Date
- 07-24-2023
- 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, Obesity and Weight Management
- Taxonomy Code
- 133VN1201X
- Type
- Dietary & Nutritional Service Providers
- License No.
- DI1082
- License State
- ME
- Taxonomy Description
- An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
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 | 2439 (MA) |
Reviews for MRS. SHANNON MOONEY WICKMAN RD, LDN, CSOWM
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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 1356423024, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
KENNEBUNK, ME 04043
KENNEBUNK, ME 04043
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356423024, enumerated as an "individual" on October 20, 2006.
The provider is located at 72 MAIN ST KENNEBUNK, ME 04043 and the phone number is (207) 467-8825.
Dietitian, Registered with taxonomy code 133VN1201X and a focus in Nutrition, Obesity and Weight Management.
