Active NPI
Homegrown Nutrition
- Registered Dietitian
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- HOMEGROWN NUTRITION
- Practice address
- 820 W Hind Dr Unit 240343
Honolulu, HI 96824-1813 - Phone
- (484) 626-0758
- Fax
- (484) 379-0069
- NPI assigned
- Mar 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Lynn Emerick, MS, RDN, LD
- Title
- Registered Dietitian
- Phone
- (484) 626-0758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
820 W Hind Dr Unit 240343
Honolulu, HI 96824-1813
Mailing address
820 W Hind Dr Unit 240343
Honolulu, HI 96824-1813
Phone (484) 626-0758
Other practice location 1
2528 Ivan St
Bethlehem, PA 18020-4360
Phone (484) 626-0758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457092827 | Other | PA | DIETITIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
820 W Hind Dr
Unit 240343
Honolulu, HI 96824
Phone (484) 626-0758
3232 Easton Ave
Unit 3186
Bethlehem, PA 18017
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1497454201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W HIND DR UNIT 240343",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968241813",
"telephone_number": "484-626-0758",
"fax_number": "484-379-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W HIND DR UNIT 240343",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968241813",
"telephone_number": "484-626-0758",
"fax_number": "484-379-0069"
}
],
"practiceLocations": [
{
"address_1": "2528 Ivan St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180204360",
"country_code": "US",
"telephone_number": "484-626-0758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOMEGROWN NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-01",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "EMERICK",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "484-626-0758",
"authorized_official_credential": "MS, RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN",
"identifier": "1457092827",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.