Active NPI
Laurel Adele Shonerd, R.D.
- Registered Dietitian
- Waianae, HI
National Provider Identifier
1376823161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1033510
- Practice address
- 86-260 Farrington Hwy
Preventive Health Department
Waianae, HI 96792-3128 - Phone
- (808) 697-3526
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1033510 | OR | Primary |
Addresses
Primary practice location
86-260 Farrington Hwy
Preventive Health Department
Waianae, HI 96792-3128
Mailing address
86-260 Farrington Hwy
Preventive Health Department
Waianae, HI 96792-3128
Phone (808) 697-3526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1033510 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1376823161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86-260 FARRINGTON HWY",
"address_2": "PREVENTIVE HEALTH DEPARTMENT",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923128",
"telephone_number": "808-697-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-260 FARRINGTON HWY",
"address_2": "PREVENTIVE HEALTH DEPARTMENT",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923128",
"telephone_number": "808-697-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHONERD",
"first_name": "LAUREL",
"middle_name": "ADELE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "1033510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.