Active NPI
Derek Vidinha, R.D.
- Registered Dietitian
- Waianae, HI
National Provider Identifier
1467997783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 144-LD
- Practice address
- 86-260 Farrington Hwy
Waianae, HI 96792-3128 - Phone
- (808) 697-3300
- NPI assigned
- Dec 21, 2016
- Last updated
- Jun 5, 2020
- Sex
- Male
- 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 | 144-LD | HI | Primary |
Addresses
Primary practice location
86-260 Farrington Hwy
Waianae, HI 96792-3128
Mailing address
1417 Hoohui St
Pearl City, HI 96782-2907
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144-LD | HI | MD | Registered Dietitian |
Interoperability endpoints
- derek.vidinha.p1@direct.wcchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1467997783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 HOOHUI ST",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967822907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-260 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923128",
"telephone_number": "808-697-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDINHA",
"first_name": "DEREK",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-21",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "HI",
"license": "144-LD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
- Usrc Waianae, LLC (U.S. Renal Care Waianae Dialysis)
- Ailini Vaitai
- Charles David Valadez Jr., PSYD
- Linh Thi Van, APRN
- Florence Verdadero
- Charmaine Lee Vierra
- Kelli-Ann Noelani Frank Voloch, MD
- Charlotte Vowell, RN
- Jasmin Galicinao Wachendorf, R.D.
- Waianae Coast Community Mental Health Center, Inc. (Hale Naau Pono)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.