Connice Wang, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1090602 Issued in HI

Practice address

1060 Spencer St Apt N
Honolulu, HI 96822-5119

Phone

(808) 620-3863

NPI assigned

Mar 9, 2012

Last updated

Jun 8, 2024By 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

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthy Hawaii Nutrition LLC

  • Registered Dietitian
  • Honolulu, HI
  • NPI 1275375545

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Queens University Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1891441382
  NPD (past)
• The Queens Medical Center

  dba Queen's Island Urgent Care

  • Urgent Care Clinic/Center
  • Aiea, HI
  • NPI 1912541905
  NPD (past)

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1588939599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SPENCER ST APT N",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968225119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SPENCER ST APT N",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968225119",
            "telephone_number": "808-620-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CONNICE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "1090602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie R. Wang, M.D.
• Anthea Wang, MD
• Chen Yen Grace Wang, N.P.
• Christina Marie Beyers Wang, DNP, APRN-RX, AGNP-C
• Christine Wang, M.D.
• David Wang, M.D.
• Eugene Wang, M.D.
• Guolong Wang, MAT
• James Jing Ping Wang
• Jasmin Wang, MD

• Registered Dietitian in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.