NPI 1497057574 · live from the CMS NPI Registry
Nicole Matsuda, RD
Dietitian, Registered in Lanai City, HI. National Provider Identifier 1497057574, active.
NPI record
| NPI | 1497057574 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 478 Lauhala Place, Lanai Community Health Center, Lanai City, HI 96763 |
| Practice phone | 808-565-6919 |
| Mailing address | 1561 Pensacola St, 1405, Honolulu, HI 96822 |
| Enumerated | November 23, 2010 |
| Last updated | November 23, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 00997848 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.