IndividualActive
Joanna Dicicco, R.D., C.D.E
NPI 1548683063 · Registered Dietitian · Birmingham, MI
Provider details
- NPI number
- 1548683063
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D., C.D.E
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721
Phone: (248) 631-4756
Street-level locationGet directions
Mailing address
912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721
Additional practice locations (1)
- One Hurley PlazaSon 5th FloorFlint, MI 48503-5993Phone: (810) 262-9353Fax: (810) 760-0440
Registry dates
- Enumerated
- 2014-02-04
- Last updated
- 2019-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.