Individual provider Active NPI

Mariah Christine Ecker, RD, LD

  • Registered Dietitian
  • Lihue, HI
National Provider Identifier
1134686348
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
210-LD Issued in HI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
210-LDHIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Trueself Therapy LLC PastSince Apr 25, 2021 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.

Verify at the official NPI Registry.