Organization Active NPI

Cheri Macie LLC

Doing business as Cheri Macie

  • Registered Dietitian
  • Haiku, HI
National Provider Identifier
1346012440
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHERI MACIE LLC
Doing business as
Cheri Macie
Practice address
44 Alekanekelo PL
Haiku, HI 96708-5321
Phone
(808) 489-5395
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Cheri Bantilan, RD, CDNPI 1346025616
Title
Registered Dietitian
Phone
(808) 489-5395

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 Primary

Addresses

Primary practice location

44 Alekanekelo PL
Haiku, HI 96708-5321

Mailing address

PO Box 3117
Kahului, HI 96733-3117
Phone (808) 489-5395

Other names 1

  • Cheri Macie Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306003884 HI Part B Supplier - Clinic/Group Practice 7012353527 Receives reassigned benefits from 1 practitioner
Practice locations: Haiku, 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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1346012440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3117",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967333117",
            "telephone_number": "808-489-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ALEKANEKELO PL",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085321",
            "telephone_number": "808-489-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERI MACIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BANTILAN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "808-489-5395",
        "authorized_official_credential": "RD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheri Macie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haiku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.