Nicole Matsuda, RD
Individual provider Active NPI Registered Dietitian · Lanai City, HI
NPI 1497057574 · NPPES record last updated Nov 23, 2010
Key facts
- NPI
- 1497057574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 00997848 (HI)
- Practice address
- 478 Lauhala Place
Lanai Community Health Center
Lanai City, HI 96763 - Phone
- (808) 565-6919
- NPI assigned
- Nov 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00997848 | HI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00997848 | HI | Yes |
Addresses
Primary practice location
478 Lauhala Place
Lanai Community Health Center
Lanai City, HI 96763
Mailing address
1561 Pensacola St
1405
Honolulu, HI 96822-3893
Phone (808) 372-4315
Other providers in Lanai City, HI
- Lanai Emergency Medical Associates Inc
- Lanai Kinaole Inc
- Lanai Kinaole Inc
- Lanai Kinaole Inc
- Sharon Rae Liden
- Maui Health System a Kaiser Foundation Hospitals LLC
- Jared Medeiros
- Mental Health Kokua
- Janette Myers
- Nora K. Harmsen, D.D.S., Inc.
All providers in Lanai City, HI · Registered Dietitian in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.