Nicole Matsuda, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00997848 Issued in HI

Practice address

478 Lauhala Place
Lanai Community Health Center
Lanai City, HI 96763

Phone

(808) 565-6919

NPI assigned

Nov 23, 2010

Last updated

Nov 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1497057574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 PENSACOLA ST",
            "address_2": "1405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223893",
            "telephone_number": "808-372-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 LAUHALA PLACE",
            "address_2": "LANAI COMMUNITY HEALTH CENTER",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "96763",
            "telephone_number": "808-565-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUDA",
        "first_name": "NICOLE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "00997848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanai Emergency Medical Associates Inc
• Lanai Kinaole Inc
• Lanai Kinaole Inc
• Lanai Kinaole Inc
• Sharon Rae Liden, PH.D.
• Maui Health System a Kaiser Foundation Hospitals LLC (Lanai Community Hospital)
• Jared Medeiros
• Mental Health Kokua
• Janette Myers, APRN
• Nora K. Harmsen, D.D.S., Inc.

• Registered Dietitian in Lanai City, HI
• Providers in Lanai City, HI by specialty
• Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.