Active NPI
Mariah Christine Ecker, RD, LD
- Registered Dietitian
- Lihue, HI
National Provider Identifier
1134686348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 210-LD
- Practice address
- 3-3295 Kuhio Hwy
Lihue, HI 96766-1040 - Phone
- (808) 369-9100
- Fax
- (855) 670-0422
- NPI assigned
- Feb 24, 2019
- Last updated
- May 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 210-LD | HI | Primary |
Addresses
Primary practice location
3-3295 Kuhio Hwy
Lihue, HI 96766-1040
Mailing address
5152 Hauaala Road
Kapaa, HI 96746-2015
Phone (808) 369-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190614000098 | HI | Practitioner - Registered Dietitian Or Nutrition Professional | 4789917295 | Practice locations: Kapaa, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4-1629 Kuhio Hwy
Suite C1
Kapaa, HI 96746-1834
Phone (808) 369-9100
5971 Waipouli Rd
Kapaa, HI 96746-8823
Phone (808) 369-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210-LD | HI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trueself Therapy LLC | Past | Accepting new patients |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1134686348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5152 HAUAALA ROAD",
"city": "KAPAA",
"state": "HI",
"postal_code": "967462015",
"telephone_number": "808-369-9100",
"fax_number": "855-670-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3-3295 KUHIO HWY",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661040",
"telephone_number": "808-369-9100",
"fax_number": "855-670-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKER",
"first_name": "MARIAH",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "HI",
"license": "210-LD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.