OPEN TABLE NUTRITION LLC
NPI 1972420123
Dietitian, Registered in Harrisonville, MO

NPI Status: Active since June 30, 2026

Contact Information

117 S LEXINGTON ST STE 100
HARRISONVILLE, MO
ZIP 64701
Phone: (314) 282-5181

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  • Organization
  • Dietitian, Registered

About OPEN TABLE NUTRITION LLC

This page provides the complete NPI Profile along with additional information for Open Table Nutrition Llc, a provider established in Harrisonville, Missouri operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1972420123 assigned on June 2026. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Jaclyn Alvarez Ms, Rdn, Csowm, Ld (Authorized Official)

NPI
1972420123
Provider Name
OPEN TABLE NUTRITION LLC
Entity Type
Organization
Location Address
117 S LEXINGTON ST STE 100 HARRISONVILLE, MO 64701
Location Phone
(314) 282-5181
Mailing Address
117 S LEXINGTON ST STE 100 HARRISONVILLE, MO 64701
Mailing Phone
(314) 282-5181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2026
Last Update Date
06-30-2026
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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
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.

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)
1133VN1201XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Obesity and Weight Management

 

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

JACLYN ALVAREZ MS, RDN, CSOWM, LD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(918) 282-6313

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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 1972420123, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 4 → 8 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 8 + 2 + 0 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1972420123.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Non-emergency Medical Transport (VAN)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Social Worker (Clinical)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Non-emergency Medical Transport (VAN)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor (Professional)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor (Professional)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Family Medicine
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
In Home Supportive Care
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Speech-Language Pathologist
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Psychologist (Clinical)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Clinic/Center (Mental Health (Including Community Mental Health Center))
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Technician (Attendant Care Provider)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Licensed Practical Nurse
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Technician, Pathology (Phlebotomy)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972420123, enumerated as an "organization" on June 30, 2026.

The provider is located at 117 S LEXINGTON ST STE 100 HARRISONVILLE, MO 64701 and the phone number is (314) 282-5181.

Dietitian, Registered with taxonomy code 133V00000X.