Active NPI
Jill Corleone, RD
- Registered Dietitian
- Honolulu, HI
National Provider Identifier
1417134412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 7190 Hawaii Kai Dr Apt 272
Honolulu, HI 96825-4109 - Phone
- (808) 348-0670
- Fax
- (407) 892-4767
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 5126 | FL | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
7190 Hawaii Kai Dr Apt 272
Honolulu, HI 96825-4109
Mailing address
7190 Hawaii Kai Dr Apt 272
Honolulu, HI 96825-4109
Phone (808) 348-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5126 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1417134412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7190 HAWAII KAI DR APT 272",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968254109",
"telephone_number": "808-348-0670",
"fax_number": "407-892-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7190 HAWAII KAI DR APT 272",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968254109",
"telephone_number": "808-348-0670",
"fax_number": "407-892-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEONE",
"first_name": "JILL",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5126",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
- Core Oahu LLC
- Core Sports Honolulu LLC (Core Sports Honolulu)
- Corinne Chan-Nishina, M.D. Inc.
- Genelle Kay Corkery, DPT
- Suerte Corla
- Carine Corman, MA
- Cornea & Refractive Surgery Consultants of the Pacific, Inc. (EyeSight Hawaii)
- Sarah Cornelius, SLP
- Corner Pharmacy Corporation (Corner Pharmacy)
- Justin Coronado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.