DEREK JOHNSON RDN
NPI 1306523824
Dietitian, Registered in Detroit, MI

NPI Status: Active since June 28, 2023

Contact Information

400 MACK AVE
DETROIT, MI
ZIP 48201
Phone: (313) 448-9600

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  • Individual
  • Male
  • Dietitian, Registered

About DEREK JOHNSON

This page provides the complete NPI Profile along with additional information for Derek Johnson, a provider established in Detroit, Michigan with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1306523824 assigned on June 2023. The practitioner's primary taxonomy code is 133V00000X with license number 86080897 (MI). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1306523824
Provider Name
DEREK JOHNSON RDN
Gender
Male
Entity Type
Individual
Location Address
400 MACK AVE DETROIT, MI 48201
Location Phone
(313) 448-9600
Mailing Address
400 MACK AVE DETROIT, MI 48201
Is Sole Proprietor?
No
Enumeration Date
06-28-2023
Last Update Date
06-28-2023
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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.
86080897
License State
MI
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
86080897OTHER (01)MIREGISTERED DIETITIAN

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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.
1306523824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306102684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 0 + 2 + 6 + 8 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1306523824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1760453195DR. MICHAEL JOSEPH PALETTA M.D.
Individual
Internal Medicine (Geriatric Medicine)400 MACK AVE
DETROIT, MI 48201
(313) 578-5031
1639221401 MARILYN ELIZABETH REMILLARD NP
Individual
Nurse Practitioner400 MACK AVE
DETROIT, MI 48201
(313) 579-5047
1851410617DR. TERRI LYNNE MACK M.D.
Individual
Internal Medicine400 MACK AVE
DETROIT, MI 48201
(313) 578-5031
1760015622WAYNE PEDIATRICS INC.
Organization
Pediatrics400 MACK AVE
DETROIT, MI 48201
(313) 577-5437
1164541447SUPPORTIVE CARE SERVICES OF MICHIGAN INC
Organization
Nursing Care400 MACK AVE
DETROIT, MI 48201
(313) 578-5000
1487225520 EUGENIA SMITH NURSE PRACTITIONER
Individual
Nurse Practitioner400 MACK AVE
DETROIT, MI 48201
(877) 929-6342
1558867572DR. DANA KABBANI MD
Individual
Internal Medicine400 MACK AVE
DETROIT, MI 48201
(313) 448-9650
1952638272DR. SHAUN CARDOZO MD
Individual
Internal Medicine (Cardiovascular Disease)400 MACK AVE
DETROIT, MI 48201
(313) 448-9650
1609190255DR. EMMA E CERMAK MD
Individual
Obstetrics & Gynecology400 MACK AVE
DETROIT, MI 48201
(313) 448-9650
1285085860 OMER ALRAWI M.D.
Individual
Internal Medicine (Nephrology)400 MACK AVE
DETROIT, MI 48201
(313) 448-9650
1821782459 KATHERINE CONOR AQUILINA FNP-C
Individual
Nurse Practitioner400 MACK AVE
DETROIT, MI 48201
(313) 448-9600
1487421319MS. BEVERLY WEATHINGTON LMSW
Individual
Social Worker (Clinical)400 MACK AVE
DETROIT, MI 48201
(313) 448-9600
1720849664 NICOLE S CANN
Individual
Community Health Worker400 MACK AVE
DETROIT, MI 48201
(877) 929-6342
1558103937 MELVIN L BISHOP
Individual
Community Health Worker400 MACK AVE
DETROIT, MI 48201
(313) 448-9850
1891537973 MARY ANN WINDHAM
Individual
Community Health Worker400 MACK AVE
DETROIT, MI 48201
(313) 448-9850
1154306355DR. JOHN W FINN M.D.
Individual
Internal Medicine (Hematology & Oncology)400 MACK AVE
DETROIT, MI 48201
(313) 578-5000
1437829900MS. SARA J GRAPSAS FNP-C
Individual
Nurse Practitioner400 MACK AVE
DETROIT, MI 48201
(313) 448-9850
1467289389 ALIAA SHARAF-ELDIN
Individual
Student in an Organized Health Care Education/Training Program400 MACK AVE
DETROIT, MI 48201
(313) 448-9850
1083437917 MARISSA MAY ROBESON PA
Individual
Physician Assistant400 MACK AVE
DETROIT, MI 48201
(877) 929-6342
1801450077 HUYAM AWADALLA HASSAN AWADALLA MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)400 MACK AVE
DETROIT, MI 48201
(313) 448-9650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306523824, enumerated in the NPI registry as an "individual" on June 28, 2023

The provider is located at 400 Mack Ave Detroit, Mi 48201 and the phone number is (313) 448-9600

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 28, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.