MRS. SHANNON M WIEDERHOLT RD,LDN,CDE
NPI 1972647287
Dietitian, Registered in Johnson City, TN

NPI Status: Active since February 19, 2007

Contact Information

408 N STATE OF FRANKLIN RD
SUITE#31
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 461-8880
Fax: (423) 461-8887

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  • Individual
  • Female
  • Dietitian, Registered

About SHANNON WIEDERHOLT

This page provides the complete NPI Profile along with additional information for Shannon Wiederholt, a provider established in Johnson City, Tennessee with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1972647287 assigned on February 2007. The practitioner's primary taxonomy code is 133V00000X with license number 1075 (TN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1972647287
Provider Name
MRS. SHANNON M WIEDERHOLT RD,LDN,CDE
Gender
Female
Entity Type
Individual
Location Address
408 N STATE OF FRANKLIN RD SUITE#31 JOHNSON CITY, TN 37604
Location Phone
(423) 461-8880
Location Fax
(423) 461-8887
Mailing Address
408 N STATE OF FRANKLIN RD SUITE#31 JOHNSON CITY, TN 37604
Mailing Phone
(423) 461-8880
Mailing Fax
(423) 461-8887
Is Sole Proprietor?
No
Enumeration Date
02-19-2007
Last Update Date
07-08-2007
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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.
1075
License State
TN
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 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 1972647287, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 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 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7

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 + 1 + 2 + 4 + 1 + 4 + 2 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1972647287.

Other Providers at the Same Location


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

Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Obstetrics & Gynecology (Reproductive Endocrinology)
408 N STATE OF FRANKLIN RD, SUITE # 31
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Physician Assistant
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Physician Assistant
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24 A
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Pediatrics (Pediatric Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 31 E
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Pediatrics (Pediatric Critical Care Medicine)
408 N STATE OF FRANKLIN RD, SUITE 31D
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24 A
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972647287, enumerated as an "individual" on February 19, 2007.

The provider is located at 408 N STATE OF FRANKLIN RD SUITE#31 JOHNSON CITY, TN 37604 and the phone number is (423) 461-8880.

Dietitian, Registered with taxonomy code 133V00000X.