MICHELE CROSMER RD
NPI 1699133090
Dietitian, Registered in Upland, CA
NPI Status: Active since February 01, 2016
Contact Information
123 E 9TH ST
STE 320
UPLAND, CA
ZIP 91786
Phone: (909) 912-4060
Fax: (888) 974-4248
- Individual
- Female
- Dietitian, Registered
- Opted-Out Medicare
About MICHELE CROSMER
This page provides the complete NPI Profile along with additional information for Michele Crosmer, a provider established in Upland, California with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1699133090 assigned on February 2016. The practitioner's primary taxonomy code is 133V00000X with license number 86014375 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1699133090
- Provider Name
- MICHELE CROSMER RD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 123 E 9TH ST STE 320 UPLAND, CA 91786
- Location Phone
- (909) 912-4060
- Location Fax
- (888) 974-4248
- Mailing Address
- 8431 HAWTHORNE ST ALTA LOMA, CA 91701
- Mailing Phone
- (909) 912-4060
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-01-2016
- Last Update Date
- 07-21-2022
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michele Crosmer opted out of Medicare effective on 04-01-2021 until 04-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86014375
- License State
- CA
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2021
Opt-Out End Date: 04-01-2025
Eligible to Order and Refer? No
Reviews for MICHELE CROSMER RD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 1 | 3 | 3 | 0 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 2 | 3 | 6 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 2 + 3 + 6 + 0 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1699133090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
TILLIE RENEE REITSMA LMFT
Marriage & Family Therapist
123 E 9TH ST
STE. 100C
UPLAND, CA
ZIP 91786
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699133090, enumerated as an "individual" on February 01, 2016.
The provider is located at 123 E 9TH ST STE 320 UPLAND, CA 91786 and the phone number is (909) 912-4060.
Dietitian, Registered with taxonomy code 133V00000X.
