STACY L WALLACE RD
NPI 1487896668
Dietitian, Registered - Nutrition, Metabolic in San Antonio, TX

NPI Status: Active since April 02, 2009

Contact Information

20330 HUEBNER RD
SUITE 104
SAN ANTONIO, TX
ZIP 78258
Phone: (832) 237-3500
Fax: (832) 237-0200

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  • Individual
  • Female
  • Dietitian, Registered
  • Nutrition, Metabolic

About STACY WALLACE

This page provides the complete NPI Profile along with additional information for Stacy Wallace, a provider established in San Antonio, Texas with a medical specialization in Dietitian, Registered, focusing in nutrition, metabolic . The healthcare provider is registered in the NPI registry with number 1487896668 assigned on April 2009. The practitioner's primary taxonomy code is 133VN1006X with license number 855077 (TX). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1487896668
Provider Name
STACY L WALLACE RD
Gender
Female
Entity Type
Individual
Location Address
20330 HUEBNER RD SUITE 104 SAN ANTONIO, TX 78258
Location Phone
(832) 237-3500
Location Fax
(832) 237-0200
Mailing Address
11321 FALLBROOK DR HOUSTON, TX 77065
Mailing Phone
(832) 237-3500
Mailing Fax
(832) 237-0200
Is Sole Proprietor?
No
Enumeration Date
04-02-2009
Last Update Date
04-02-2009
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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 Nutrition, Metabolic

Taxonomy Code
133VN1006X
Type
Dietary & Nutritional Service Providers
License No.
855077
License State
TX
Taxonomy Description
A registered dietitian who achieves specialized competency in metabolic 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 1487896668, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 6 + 9 + 1 + 2 + 6 + 1 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1487896668.

Other Providers at the Same Location


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

Dietitian, Registered
20330 HUEBNER RD
SAN ANTONIO, TX 78258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487896668, enumerated as an "individual" on April 02, 2009.

The provider is located at 20330 HUEBNER RD SUITE 104 SAN ANTONIO, TX 78258 and the phone number is (832) 237-3500.

Dietitian, Registered with taxonomy code 133VN1006X and a focus in Nutrition, Metabolic.