Active NPI
Nurish
- Specialist
- Wailuku, HI
National Provider Identifier
1124486766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F-ML2137061
- Legal business name
- NURISH
- Practice address
- 122 Central Ave
Wailuku, HI 96793-1705 - Phone
- (808) 214-6160
- Fax
- (866) 237-5504
- NPI assigned
- Feb 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melanie Lozano, L.A.CH.
- Title
- Practitioner
- Phone
- (808) 214-6160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F-ML2137061 | TX | Primary |
| Specialist | 174400000X | 1800 | PA | |
| Specialist | 174400000X | TX |
Addresses
Primary practice location
122 Central Ave
Wailuku, HI 96793-1705
Mailing address
PO Box 1270
Wailuku, HI 96793-6270
Phone (808) 214-6160
National Provider Directory
National Provider DirectoryLocations
122 Central Ave
Wailuku, HI 96793
Phone (808) 214-6160
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Wailuku, HI
- NPI 1780043216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1124486766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1270",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967936270",
"telephone_number": "808-214-6160",
"fax_number": "866-237-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 CENTRAL AVE",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931705",
"telephone_number": "808-214-6160",
"fax_number": "866-237-5504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURISH",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "LOZANO",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "808-214-6160",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.A.CH."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "F-ML2137061",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": "1800",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.