MR. KENNETH LEE RUSSELL NAVY SOIDC
NPI 1639661192
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

NPI Status: Active since May 31, 2018

Contact Information

3D MARINE RAIDER BATTALION
CAMP LEJEUNE, NC
ZIP 28546
Phone: (360) 808-1590

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About KENNETH RUSSELL

This page provides the complete NPI Profile along with additional information for Kenneth Russell, a provider established in Camp Lejeune, North Carolina with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1639661192 assigned on May 2018. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1639661192
Provider Name
MR. KENNETH LEE RUSSELL NAVY SOIDC
Other Name
N/A N/A N/A HM1 RUSSELL KENNETH
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
3D MARINE RAIDER BATTALION CAMP LEJEUNE, NC 28546
Location Phone
(360) 808-1590
Mailing Address
1101 MAREN CV APT 102 SNEADS FERRY, NC 28460
Mailing Phone
(360) 808-1590
Is Sole Proprietor?
Yes
Enumeration Date
05-31-2018
Last Update Date
05-31-2018
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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

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1391428740OTHER (01)NAVY/DOD

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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 1639661192, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 3 → 6 6 → 12 → 3 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 6 + 2 + 1 + 1 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1639661192.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639661192, enumerated as an "individual" on May 31, 2018.

The provider is located at 3D MARINE RAIDER BATTALION CAMP LEJEUNE, NC 28546 and the phone number is (360) 808-1590.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.