Healthy Hawaii Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

HEALTHY HAWAII NUTRITION LLC

Practice address

1060 Spencer St Apt N
Honolulu, HI 96822-5119

Phone

(808) 620-3863

NPI assigned

Jun 8, 2024

Organization subpart

No

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

Authorized official

Name

Connice WangNPI 1588939599

Title

Owner

Phone

(808) 620-3863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connice Wang, RD

  • Registered Dietitian
  • Honolulu, HI
  • NPI 1588939599

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1275375545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SPENCER ST APT N",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968225119",
            "telephone_number": "808-620-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SPENCER ST APT N",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968225119",
            "telephone_number": "808-620-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HAWAII NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CONNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-620-3863"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.