Organization Active NPI

Defying Diabetes LLC

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1720707680
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 27, 2022

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1295875599OtherCAINDIVIDUAL NPI

Other names 1

  • Defying Diabetes Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Healthie

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.