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.

DR. MICHAEL JOSEPH PALETTA M.D.

Internal Medicine

(Geriatric Medicine)

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 578-5031

MARILYN ELIZABETH REMILLARD NP

Nurse Practitioner

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 579-5047

DR. TERRI LYNNE MACK M.D.

Internal Medicine

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 578-5031

WAYNE PEDIATRICS INC.

Pediatrics

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 577-5437

SUPPORTIVE CARE SERVICES OF MICHIGAN INC

Nursing Care

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 578-5000

EUGENIA SMITH NURSE PRACTITIONER

Nurse Practitioner

400 MACK AVE
DETROIT, MI
ZIP 48201

(877) 929-6342

DR. DANA KABBANI MD

Internal Medicine

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9650

DR. SHAUN CARDOZO MD

Internal Medicine

(Cardiovascular Disease)

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9650

DR. EMMA E CERMAK MD

Obstetrics & Gynecology

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9650

OMER ALRAWI M.D.

Internal Medicine

(Nephrology)

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9650

KATHERINE CONOR AQUILINA FNP-C

Nurse Practitioner

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9600

MS. BEVERLY WEATHINGTON LMSW

Social Worker

(Clinical)

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9600

NICOLE S CANN

Community Health Worker

400 MACK AVE
DETROIT, MI
ZIP 48201

(877) 929-6342

MELVIN L BISHOP

Community Health Worker

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9850

MARY ANN WINDHAM

Community Health Worker

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9850

DR. JOHN W FINN M.D.

Internal Medicine

(Hematology & Oncology)

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 578-5000

MS. SARA J GRAPSAS FNP-C

Nurse Practitioner

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9850

ALIAA SHARAF-ELDIN

Student in an Organized Health Care Education/Training Program

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9850

MARISSA MAY ROBESON PA

Physician Assistant

400 MACK AVE
DETROIT, MI
ZIP 48201

(877) 929-6342

HUYAM AWADALLA HASSAN AWADALLA MD

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

400 MACK AVE
DETROIT, MI
ZIP 48201

(313) 448-9650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306523824, enumerated 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.

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 verify.