Individual provider Active NPI

Genesis Nayeth Codoni de Juan, MS, RDN, CSO, CDN

  • Registered Dietitian
  • Rochester Hills, MI
National Provider Identifier
1093631103
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
011232 Issued in NY
Practice address
2060 Yarmuth Dr Apt 25
Rochester Hills, MI 48307-4072
Phone
(787) 969-2438
NPI assigned
Jun 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 011232 NY Primary

Addresses

Primary practice location

2060 Yarmuth Dr Apt 25
Rochester Hills, MI 48307-4072

Mailing address

2060 Yarmuth Dr Apt 25
Rochester Hills, MI 48307-4072
Phone (787) 969-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1093631103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 YARMUTH DR APT 25",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074072",
            "telephone_number": "787-969-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 YARMUTH DR APT 25",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074072",
            "telephone_number": "787-969-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODONI DE JUAN",
        "first_name": "GENESIS",
        "middle_name": "NAYETH",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CSO, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.