Organization Active NPI

Nurish

  • Specialist
  • Wailuku, HI
National Provider Identifier
1124486766
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F-ML2137061 Issued in TX
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

Updated by the provider on Feb 10, 2016

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.NPI 1780043216
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X F-ML2137061 TX Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 1800 PA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.