MRS. MOLLY SHATTUCK RD
NPI 1912284977
Dietitian, Registered - Nutrition, Renal in Moline, IL
NPI Status: Active since November 04, 2011
Contact Information
400 JOHN DEERE RD
MOLINE, IL
ZIP 61265
Phone: (309) 762-0200
- Individual
- Female
- Dietitian, Registered
- Nutrition, Renal
About MOLLY SHATTUCK
This page provides the complete NPI Profile along with additional information for Molly Shattuck, a provider established in Moline, Illinois with a medical specialization in Dietitian, Registered, focusing in nutrition, renal . The healthcare provider is registered in the NPI registry with number 1912284977 assigned on November 2011. The practitioner's primary taxonomy code is 133VN1005X with license number 164005153 (IL). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1912284977
- Provider Name
- MRS. MOLLY SHATTUCK RD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 400 JOHN DEERE RD MOLINE, IL 61265
- Location Phone
- (309) 762-0200
- Mailing Address
- 2514 3RD ST MOLINE, IL 61265
- Mailing Phone
- (309) 781-9446
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-04-2011
- Last Update Date
- 11-04-2011
- Code Navigator
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 Nutrition, Renal
- Taxonomy Code
- 133VN1005X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 164005153
- License State
- IL
- Taxonomy Description
- An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 001928 (IA) |
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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 1912284977, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MOLINE, IL 61265
MOLINE, IL 61265
MOLINE, IL 61265
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912284977, enumerated as an "individual" on November 04, 2011.
The provider is located at 400 JOHN DEERE RD MOLINE, IL 61265 and the phone number is (309) 762-0200.
Dietitian, Registered with taxonomy code 133VN1005X and a focus in Nutrition, Renal.
