SHELLY RAE FOX
NPI 1619664711
Peer Specialist in Grand Ronde, OR

NPI Status: Active since April 19, 2023

Contact Information

9615 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347
Phone: (503) 879-2002

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  • Individual
  • Female
  • Peer Specialist

About SHELLY FOX

This page provides the complete NPI Profile along with additional information for Shelly Fox, a provider established in Grand Ronde, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1619664711 assigned on April 2023. The practitioner's primary taxonomy code is 175T00000X with license number THW000108778 (OR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1619664711
Provider Name
SHELLY RAE FOX
Other Name
SHELLY WHITLEY-WAELTY
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
9615 GRAND RONDE RD GRAND RONDE, OR 97347
Location Phone
(503) 879-2002
Mailing Address
9615 GRAND RONDE RD GRAND RONDE, OR 97347
Mailing Phone
(503) 879-2002
Is Sole Proprietor?
No
Enumeration Date
04-19-2023
Last Update Date
04-19-2023
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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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
THW000108778
License State
OR
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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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 1619664711, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
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 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 2 + 6 + 8 + 7 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1619664711.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Speech-Language Pathologist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Marriage & Family Therapist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Clinical Medical Laboratory
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Optometrist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Counselor (Addiction (Substance Use Disorder))
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Counselor (Addiction (Substance Use Disorder))
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Internal Medicine
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Registered Nurse
9615 GRAND RONDE RD
GRAND RONDE, OR 97347

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619664711, enumerated as an "individual" on April 19, 2023.

The provider is located at 9615 GRAND RONDE RD GRAND RONDE, OR 97347 and the phone number is (503) 879-2002.

Peer Specialist with taxonomy code 175T00000X.