STACEY LYNN FOGARTY-BROWN RD, CSP
NPI 1710638051
Dietitian, Registered - Nutrition, Pediatric in Ypsilanti, MI

NPI Status: Active since January 18, 2022

Contact Information

8214 VALLEYVIEW DR
YPSILANTI, MI
ZIP 48197
Phone: (989) 330-1789

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  • Individual
  • Female
  • Dietitian, Registered
  • Nutrition, Pediatric

About STACEY FOGARTY-BROWN

This page provides the complete NPI Profile along with additional information for Stacey Fogarty-brown, a provider established in Ypsilanti, Michigan with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1710638051 assigned on January 2022. The practitioner's primary taxonomy code is 133VN1004X with license number 86057543 (). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1710638051
Provider Name
STACEY LYNN FOGARTY-BROWN RD, CSP
Gender
Female
Entity Type
Individual
Location Address
8214 VALLEYVIEW DR YPSILANTI, MI 48197
Location Phone
(989) 330-1789
Mailing Address
8214 VALLEYVIEW DR YPSILANTI, MI 48197
Mailing Phone
(989) 330-1789
Is Sole Proprietor?
Yes
Enumeration Date
01-18-2022
Last Update Date
01-18-2022
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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, Pediatric

Taxonomy Code
133VN1004X
Type
Dietary & Nutritional Service Providers
License No.
86057543
Taxonomy Description
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

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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.
1710638051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272012316010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 2 + 3 + 1 + 6 + 0 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1710638051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710638051, enumerated as an "individual" on January 18, 2022.

The provider is located at 8214 VALLEYVIEW DR YPSILANTI, MI 48197 and the phone number is (989) 330-1789.

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.