Active NPI
Isabella Anna Largin, MS, RDN
- Registered Dietitian
- Birmingham, MI
National Provider Identifier
1255044574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86099379
- Practice address
- 912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721 - Phone
- (248) 537-2639
- NPI assigned
- Jan 2, 2023
- Last updated
- May 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86099379 | MI | Primary |
Addresses
Primary practice location
912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721
Mailing address
1727 McClellan St
Detroit, MI 48214-3070
Phone (810) 360-7130
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86099379 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mybody, PLLC | Current | Accepting new patients |
Locations
912 S Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (248) 537-2639
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Birmingham, MI
- NPI 1447706213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1255044574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 MCCLELLAN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143070",
"telephone_number": "810-360-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S OLD WOODWARD AVE STE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096721",
"telephone_number": "248-537-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGIN",
"first_name": "ISABELLA",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86099379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.