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MS. IFETAYO B JOHNSON
NPI 1467015511
Health Educator in Detroit, MI

Active since April 15, 2019
3031 W GRAND BLVD STE 365, DETROIT, MI 48202(313) 664-0100(313) 664-0111 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2019, Apr 15, 2019 (2 updates tracked since 2019).

About Ms. Ifetayo B Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IFETAYO B JOHNSON (NPI 1467015511) is an individual health educator provider in Detroit, Michigan and active in the NPI registry since April 2019. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1467015511
Entity TypeIndividualFemale
Primary Taxonomy174H00000X
Provider Legal NameMS. IFETAYO B JOHNSON
Location Address3031 W GRAND BLVD STE 365Detroit, MI 48202-3014
Mailing Address3031 W Grand Blvd Ste 365Detroit, MI 48202-3014 · (313) 664-0100 · Fax (313) 664-0111
Phone(313) 664-0100
Fax(313) 664-0111
Sole ProprietorYes
Enumeration DateApril 15, 2019
Last NPPES UpdateApril 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1467015511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
3031 W GRAND BLVD STE 365, Detroit, MI 48202
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Secondary Practice Location 1

Location 114179 Evergreen RdDetroit, MI 48223-2843 · Phone (313) 538-1180

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HELENA MAYS
Health Educator
3031 W GRAND BLVD STE 365
DETROIT, MI 48202
Wayne County (313) 664-0100
MR. CARMEN ROME
Health Educator
3031 W GRAND BLVD STE 365
DETROIT, MI 48202
Wayne County (313) 664-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ifetayo Johnson's NPI number?

The NPI number for Ifetayo Johnson is 1467015511. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Ifetayo Johnson located?

Ifetayo Johnson practices at 3031 W Grand Blvd Ste 365, Detroit, MI 48202. The listed phone number is (313) 664-0100.

What is Ifetayo Johnson's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

When was this NPI record last updated?

The NPPES record for Ifetayo Johnson was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.