Mari McClenney, MS, RDN, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86177097 Issued in HI

Practice address

44-114 Nanamoana St
Kaneohe, HI 96744-2555

Phone

(808) 208-4719

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1629857271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-114 NANAMOANA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-114 NANAMOANA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442555",
            "telephone_number": "808-208-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENNEY",
        "first_name": "MARI",
        "credential": "MS, RDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "HI",
            "license": "L-309556",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "86177097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Matutino, LMFT
• Maulihiwa Wellness, LLC
• Rachel Mazuch
• Irene M Mazurok, LCSW, CSAC
• Roberta McArthur, LMT
• Amanda Kate McCrerey
• John Thomas McDonnell, MD
• Claude J. McDowell II, PSY.D.
• Jennifer L McGinnis, P.T.
• Tashia-Lyn McGuire

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.