MARY LOUISE BURBANK RD
NPI 1922647601
Dietitian, Registered in Middletown, CT

NPI Status: Active since December 30, 2019

Contact Information

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 287-1078

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  • Individual
  • Female
  • Dietitian, Registered

About MARY BURBANK

This page provides the complete NPI Profile along with additional information for Mary Burbank, a provider established in Middletown, Connecticut with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1922647601 assigned on December 2019. The practitioner's primary taxonomy code is 133V00000X with license number 001431 (CT). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1922647601
Provider Name
MARY LOUISE BURBANK RD
Other Name
MARY LOUISE GATES RD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
540 SAYBROOK RD STE 100 MIDDLETOWN, CT 06457
Location Phone
(860) 287-1078
Mailing Address
179 RUSSELL ST MIDDLETOWN, CT 06457
Is Sole Proprietor?
No
Enumeration Date
12-30-2019
Last Update Date
12-30-2019
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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

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
001431
License State
CT
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.

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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.
1922647601
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29421241460
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 2 + 4 + 1 + 4 + 6 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1922647601 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

MHS PRIMARY CARE INC.

Surgery

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457

(860) 358-2780

JAMES MICHAEL PARKER MD

Surgery

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457

(860) 358-2850

DR. KERTRISA R MCWHITE MD

Surgery

(Surgical Oncology)

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457

(860) 358-2850

ROBERT COOPER BROWN PA

Physician Assistant

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457

(860) 358-2850

MHS PRIMARY CARE INC.

Surgery

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457

(860) 358-2850

DR. ANDREA MARIE MALON M.D.

Surgery

(Surgical Oncology)

540 SAYBROOK RD STE 100
MIDDLETOWN, CT
ZIP 06457

(860) 358-2850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922647601, enumerated as an "individual" on December 30, 2019.

The provider is located at 540 SAYBROOK RD STE 100 MIDDLETOWN, CT 06457 and the phone number is (860) 287-1078.

Dietitian, Registered with taxonomy code 133V00000X.