Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Domenico, RD

Individual provider Registered Dietitian · NPI 1285432369

Jamie Domenico, RD is a Registered Dietitian in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 200-4087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1285432369
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 3, 2025
Mailing address4646 John R Street, Nutrition And Food Service Department, Detroit, MI 48201

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