Individual provider Active NPI

Demond Johnson

  • Health & Wellness Coach
  • Ann Arbor, MI
National Provider Identifier
1528735594
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
905 W Eisenhower Cir Ste 108
Ann Arbor, MI 48103-6400
Phone
(734) 222-5080
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X NU
Nutritionist 133N00000X NU
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU
Athletic Trainer 2255A2300X NU
Massage Therapist 225700000X NU
Occupational Therapist 225X00000X NU
Health Educator 174H00000X NU
Health & Wellness Coach 171400000X NU Primary
Recreational Therapist Assistant 226000000X NU

Addresses

Primary practice location

905 W Eisenhower Cir Ste 108
Ann Arbor, MI 48103-6400

Mailing address

905 W Eisenhower Cir Ste 108
Ann Arbor, MI 48103-6400
Phone (734) 222-5080

Other practice location 1

2075 E West Maple Rd Ste B-208
Commerce Township, MI 48390-3816
Phone (734) 222-5080

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address demond@a2fitnesspro.com
Direct Messaging Address admin@a2fitnesspro.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
A2 Integrative Wellness, LLC Dietary Manager CurrentSince Aug 29, 2021 Accepting new patients

Locations

905 W Eisenhower Cir
Ste 108
Ann Arbor, MI 48103
Phone (313) 665-6638

2075 E West Maple Rd
Ste B208
Commerce Township, MI 48390
Phone (248) 669-9500

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.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1528735594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W EISENHOWER CIR STE 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036400",
            "telephone_number": "734-222-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W EISENHOWER CIR STE 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036400",
            "telephone_number": "734-222-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 E West Maple Rd Ste B-208",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483903816",
            "country_code": "US",
            "telephone_number": "734-222-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "demond@a2fitnesspro.com",
            "affiliation": "N",
            "address_1": "905 W Eisenhower Cir Ste 108",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481036400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@a2fitnesspro.com",
            "affiliation": "N",
            "address_1": "905 W Eisenhower Cir Ste 108",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481036400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.