NPIMap

Organization Active NPI

Ascension St. John Hospital

  • Registered Dietitian
  • Detriot, MI
National Provider Identifier
1295290443
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ASCENSION ST. JOHN HOSPITAL
Practice address
22201 Moross, Ste. 270
Detriot, MI 48236
Phone
(313) 343-3481
Fax
(313) 343-7937
NPI assigned
Feb 1, 2019
Organization subpart
Yes
Parent organization
ASCENSION ST. JOHN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Julie Johannsen-Wilk, RD
Title
Registered Clinical Dietician
Phone
(313) 343-3481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

22201 Moross, Ste. 270
Detriot, MI 48236

Mailing address

22201 Moross, Ste. 270
Detriot, MI 48236
Phone (313) 343-3481

National Provider Directory

National Provider Directory
Tax ID family
St Johns Hospital Med74 organizations share this tax ID, including this one
Part of
St Johns Hospital Med

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

22201 Moross Rd
Ste 270
Grosse Pointe, MI 48236
Phone (313) 343-3481

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1295290443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS, STE. 270",
            "city": "DETRIOT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-3481",
            "fax_number": "313-343-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS, STE. 270",
            "city": "DETRIOT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-3481",
            "fax_number": "313-343-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION ST. JOHN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION ST. JOHN HOSPITAL",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "JOHANNSEN-WILK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "REGISTERED CLINICAL DIETICIAN",
        "authorized_official_telephone_number": "313-343-3481",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detriot, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.