Individual provider Active NPI

Jennifer Conway, RD

  • Health Educator
  • Waimanalo, HI
National Provider Identifier
1508526757
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297
Phone
(808) 259-7940
Fax
(808) 954-7168
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297

Mailing address

41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297
Phone (808) 259-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908000963 HI Practitioner - Registered Dietitian Or Nutrition Professional 9931586690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waimanalo Health CenterGroup PAC ID 8527029198, 27 clinicians

Practice addresses (Care Compare)

41 1347 Kalanianaole
Waimanalo, HI 96795-1247

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Phone (808) 259-7948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Primary Care Association Health Educator CurrentSince Jan 14, 2022 Accepting new patients
Waimanalo Health Center CurrentSince Aug 16, 2023 Accepting new patients
Waimanalo Health Center PastSince Jan 2, 2022 Accepting new patients

Locations

41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-7948

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-5466

41-1347 Kalanianaole Hwy
Ste A
Waimanalo, HI 96795
Phone (808) 259-5466

Interoperability endpoints

  • Direct secure messaging: jennifer.conway.p1@direct.waimanalohealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1508526757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-1347 KALANIANAOLE HWY STE A",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951297",
            "telephone_number": "808-259-7940",
            "fax_number": "808-954-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-1347 KALANIANAOLE HWY STE A",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951297",
            "telephone_number": "808-259-7940",
            "fax_number": "808-954-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JENNIFER",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimanalo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.