Stacey Breshears, MS, RD, LD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

202-LD Issued in HI

Practice address

4819 Kilauea Ave Ste 7
Honolulu, HI 96816-5712

Phone

(808) 620-5553

Fax

(833) 672-3405

NPI assigned

Dec 3, 2015

Last updated

Jul 4, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA, HI2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Loma Linda University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• 3E Wellness LLC

  • Registered Dietitian
  • Honolulu, HI
  • NPI 1891410650
  Medicare reassignment Authorized official
• American Indian Health & Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1740222934
  Medicare reassignment NPD
• American Indian Health & Services Corporation

  dba American Indian Health & Services Carpinteria Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Carpinteria, CA
  • NPI 1487204244
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1619342573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 KILAUEA AVE STE 7",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165712",
            "telephone_number": "808-620-5553",
            "fax_number": "833-672-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 KILAUEA AVE STE 7",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165712",
            "telephone_number": "808-620-5553",
            "fax_number": "833-672-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESHEARS",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "202-LD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry M Brennan, PH.D.
• Kathleen Ann Brennan, APRN-RX, FNP
• Malia Brennan
• Mary Brennan, MA, MS, PHD
• Brent K Uyeno MD
• Andrew Raymond Breton, LMHC
• Joseph Patrick Breuwet, D.C.
• Francis G Brewer, D.C.
• April Michelle Brewster, LPTA
• Mandi Sue Breyman, PA

• 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 Jul 4, 2026; 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.