Individual provider Active NPI

Annette Marie Loduca-Duhaime, REGISTERED DIETITAIN

  • Registered Dietitian
  • Detroit, MI
National Provider Identifier
1306985791
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
894327 Issued in MI
Practice address
2799 W Grand Blvd # K-8
E-802
Detroit, MI 48202-2608
Phone
(313) 916-3677
Fax
(313) 916-7354
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 894327 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd # K-8
E-802
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd # K-8
E-802
Detroit, MI 48202-2608
Phone (313) 916-3677

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
894327MIMDRegistered Dietitian

Interoperability endpoints

  • Direct secure messaging: aloducaduhaime15388@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306985791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD # K-8",
            "address_2": "E-802",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-3677",
            "fax_number": "313-916-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD # K-8",
            "address_2": "E-802",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-3677",
            "fax_number": "313-916-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODUCA-DUHAIME",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED DIETITAIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "894327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.