THEDACARE LIFESTYLE MEDICINE
NPI 1871065037
Health Educator in Appleton, WI

NPI Status: Active since December 27, 2018

Contact Information

1602 N MEADE ST
APPLETON, WI
ZIP 54911
Phone: (920) 225-1242
Fax: (920) 560-5297

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  • Organization
  • Health Educator
  • CLIA Number: 52D2205514
  • CLIA Cert. Type: Health Fair
  • CLIA Exp. Date: 12-14-2026

About THEDACARE LIFESTYLE MEDICINE

This page provides the complete NPI Profile along with additional information for Thedacare Lifestyle Medicine, a provider established in Appleton, Wisconsin operating as a Health Educator. The healthcare provider is registered in the NPI registry with number 1871065037 assigned on December 2018. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Thedacare Lifestyle Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Thedacare Lifestyle Medicine. The authorized official of this NPI record is William Flett (Cfo)

NPI
1871065037
Provider Legal Name
THEDACARE, INCORPORATED
Other Organization Name
THEDACARE LIFESTYLE MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1602 N MEADE ST APPLETON, WI 54911
Location Phone
(920) 225-1242
Location Fax
(920) 560-5297
Mailing Address
3 NEENAH CTR NEENAH, WI 54956
Mailing Phone
(920) 830-5900
Mailing Fax
(920) 560-5297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2018
Last Update Date
01-02-2024
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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

Health Educator

Taxonomy Code
174H00000X
Type
Other Service Providers
Taxonomy Description
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM FLETT

Authorized Official Title
CFO
Authorized Official Phone
(920) 454-4013

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2205514
Facility Type
Health Fair
Certificate Effective Date
December 15, 2024
Certificate Expiration Date
December 14, 2026
Laboratory Director
DR. KAY THEYERL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Thedacare Lifestyle Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1871065037, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 7 → 14 → 5 0 → 0 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 0 + 6 + 1 + 0 + 0 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1871065037.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dietitian, Registered
1602 N MEADE ST
APPLETON, WI 54911
Health Educator
1602 N MEADE ST
APPLETON, WI 54911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871065037, enumerated as an "organization" on December 27, 2018.

The provider is located at 1602 N MEADE ST APPLETON, WI 54911 and the phone number is (920) 225-1242.

Health Educator with taxonomy code 174H00000X.