NPI 1619342573 · live from the CMS NPI Registry
Stacey Breshears, MS, RD, LD, CDCES
Dietitian, Registered in Honolulu, HI. National Provider Identifier 1619342573, active.
NPI record
| NPI | 1619342573 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4819 Kilauea Ave Ste 7, Honolulu, HI 96816 |
| Practice phone | 808-620-5553 |
| Enumerated | December 3, 2015 |
| Last updated | July 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 202-LD (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.