Organization Active NPI

Christine Shokorian LLC

  • Registered Dietitian
  • Kihei, HI
National Provider Identifier
1174134167
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHRISTINE SHOKORIAN LLC
Practice address
1450 S Kihei Rd Apt D108
Kihei, HI 96753-8164
Phone
(808) 344-2211
NPI assigned
Aug 12, 2020
Last updated
Nov 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

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

Authorized official

Name
Christine Shokorian, RDNPI 1144842428
Title
Dietitian
Phone
(808) 344-2211

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

1450 S Kihei Rd Apt D108
Kihei, HI 96753-8164

Mailing address

1450 S Kihei Rd Apt D108
Kihei, HI 96753-8164
Phone (808) 344-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117001730 HI Part B Supplier - Clinic/Group Practice 6507277894 Receives reassigned benefits from 1 practitioner
Practice locations: Kihei, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604707200000",
    "number": "1174134167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S KIHEI RD APT D108",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538164",
            "telephone_number": "808-344-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S KIHEI RD APT D108",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538164",
            "telephone_number": "808-344-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE SHOKORIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A",
        "authorized_official_last_name": "SHOKORIAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "808-344-2211",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.