Active NPI
Defying Diabetes LLC
- Registered Dietitian
- San Francisco, CA
National Provider Identifier
1720707680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DEFYING DIABETES LLC
- Doing business as
- Defying Diabetes
- Practice address
- 615 Wisconsin St
San Francisco, CA 94107-2733 - Phone
- (415) 722-4498
- NPI assigned
- Aug 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne McMichael, MS RD CNSC CDCES
- Title
- Registered Dietitian
- Phone
- (415) 722-4498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
615 Wisconsin St
San Francisco, CA 94107-2733
Mailing address
615 Wisconsin St
San Francisco, CA 94107-2733
Phone (415) 722-4498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295875599 | Other | CA | INDIVIDUAL NPI |
Other names 1
- Defying Diabetes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Healthie |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1720707680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 WISCONSIN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072733",
"telephone_number": "415-722-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WISCONSIN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072733",
"telephone_number": "415-722-4498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFYING DIABETES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-24",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "MCMICHAEL",
"authorized_official_first_name": "JEANNE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "415-722-4498",
"authorized_official_credential": "MS RD CNSC CDCES"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1295875599",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Healthie",
"affiliation": "N",
"address_1": "615 Wisconsin St",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941072733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Defying Diabetes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Defying Diabetes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.