Jessica Renfer, N.D.

Individual provider Active NPI Naturopath · Hilo, HI

NPI 1285026468 · NPPES record last updated Feb 25, 2015

Key facts

NPI
1285026468
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
License
267 (HI)
Practice address
152 Puueo St
Hilo, HI 96720-2429
Phone
(808) 933-4325
Fax
(808) 969-9350
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
267HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Natural Health Clinic, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 267 HI Yes

Addresses

Primary practice location

152 Puueo St
Hilo, HI 96720-2429

Mailing address

152 Puueo St
Hilo, HI 96720-2429
Phone (808) 933-4325

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2015.

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1285026468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PUUEO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202429",
            "telephone_number": "808-933-4325",
            "fax_number": "808-969-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 PUUEO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202429",
            "telephone_number": "808-933-4325",
            "fax_number": "808-969-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFER",
        "first_name": "JESSICA",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "HI",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

All providers in Hilo, HI · Naturopath in Hawaii

Sources for this page

Verify at the official NPI Registry.