Raenell R Nakagawa, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

814076 Issued in HI

Practice address

98-1005 Moanalua Rd
Ste 420 - CKD Services of Pearlridge
Aiea, HI 96701-4777

Phone

(808) 440-4800

Fax

(808) 440-4827

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raenell K Reyla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1558413344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3088",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968023088",
            "telephone_number": "808-222-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "address_2": "STE 420 - CKD SERVICES OF PEARLRIDGE",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014777",
            "telephone_number": "808-440-4800",
            "fax_number": "808-440-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGAWA",
        "first_name": "RAENELL",
        "middle_name": "R",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "HI",
            "license": "814076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAENELL",
            "last_name": "REYLA",
            "middle_name": "K",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kuuleikuponookealoha Naahielua, APRN
• Leanne Nagai
• Reilyenne Pomai Nahulu
• Najwa LLC
• Kristen Nakagawa
• Harvey M Nakamoto, P.T.
• Ryanne L V Nakamoto, NP
• Lisa Nakamura
• Marc Ken Nakamura, DDS
• Rachael Nakamura, RPH

• Renal Nutrition Registered Dietitian in Aiea, HI
• Providers in Aiea, HI by specialty
• Renal Nutrition Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.