Genesis Nayeth Codoni De Juan, MS, RDN, CSO, CDN
NPI 1093631103ActiveIndividual· Dietitian, Registered· Rochester Hills, MI
Dietitian, Registered (MS, RDN, CSO, CDN) in Rochester Hills, Michigan, licensed in NY, with an NPI issued in June 2026.
Overview
| NPI | 1093631103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN, CSO, CDN |
| Sole proprietor | No |
| NPI issued | Jun 24, 2026 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 011232 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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