LYNN M KITSLAAR RD
NPI 1255316717
Dietitian, Registered, Nutrition, Metabolic in Green Bay,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 7, 2005

Contact Information

1630 Commanche Ave
Green Bay,
Post Code: 54313
Phone: (920) 430-4700
Fax: (920) 430-4747

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Lynn M Kitslaar Rd in Green Bay - Dietitian, Registered, Nutrition, Metabolic

Lynn M Kitslaar Rd is a Dietitian, Registered, Nutrition, Metabolic in Green Bay, . Lynn M Kitslaar Rd practices all healthcare services and medical treatments related to Dietitian, Registered, Nutrition, Metabolic. The NPI Number for Lynn M Kitslaar Rd is 1255316717. The last update date is 2019-08-21.

Lynn M Kitslaar Rd's current location address is 1630 Commanche Ave, Green Bay, . You can contact this provider via phone number (920) 430-4700 and fax number (920) 430-4747. The mailing address for Lynn M Kitslaar Rd is 1630 Commanche Ave, Green Bay, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255316717
Provider Name
LYNN M KITSLAAR RD
Gender
Female
Entity Type
Individual
Location Address
1630 Commanche Ave, Green Bay,
Location Phone
(920) 430-4700
Location Fax
(920) 430-4747
Mailing Address
Po Box 22487, Green Bay, Wisconsin(WI)
Mailing Phone
920-445-7222
Mailing Fax
920-445-7289
Enumeration Date
2005-12-07
Last Update Date
2019-08-21
Code Navigator

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
-
License No.
1399-29
License State
Wisconsin (WI)
Taxonomy Description
-

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 133VN1006X Metabolic Nutrition Registered Dietitian

Dietitian, Registered, Nutrition, Metabolic

1399-29 (Wisconsin)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20110340 Other (non-Medicare) (01) Wisconsin (WI) National Certification Board for Diabetes Educators
850912 Other (non-Medicare) (01) Wisconsin (WI) Commission on Dietetic Registration

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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.
1255316717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105611272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105611272
2 + 2 + 1 + 0 + 5 + 6 + 1 + 1 + 2 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1255316717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255316469 ALAN L BOWMAN
Individual
Physical Therapist PO BOX 3497
STURTEVANT, Wisconsin (WI)
877-552-2996
1255315784 SHOBHA DESAI
Individual
Radiology, Diagnostic Radiology 10945 N PORT WASHINGTON RD STE 201
MEQUON, Wisconsin (WI)
262-292-3151
1255315768 STANLEY DEAN RINTELMANN
Individual
Nurse Practitioner, Family 929 N ASTOR ST
MILWAUKEE, Wisconsin (WI)
414-271-0773
1255315586 ABDUL Q KHAN
Individual
Anesthesiology 9200 W WISCONSIN AVE
MILWAUKEE, Wisconsin (WI)
414-805-8700
1255315271 JAMES MICHAEL WILSON
Individual
Anesthesiology 2025 E NEWPORT AVE
MILWAUKEE, Wisconsin (WI)
414-961-3300