Active NPI
Mackenzie White, R.D.
- Registered Dietitian
- Jbphh, HI
National Provider Identifier
1679902464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 58-LD
- Practice address
- 480 Central Ave
Naval Health Clinic Hawaii
Jbphh, HI 96860-4908 - Phone
- (808) 471-1866
- NPI assigned
- Nov 2, 2013
- Last updated
- Nov 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 58-LD | HI | Primary |
Addresses
Primary practice location
480 Central Ave
Naval Health Clinic Hawaii
Jbphh, HI 96860-4908
Mailing address
480 Central Ave
Naval Health Clinic Hawaii
Jbphh, HI 96860-4908
Phone (808) 471-1866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58-LD | HI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1679902464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 CENTRAL AVE",
"address_2": "NAVAL HEALTH CLINIC HAWAII",
"city": "JBPHH",
"state": "HI",
"postal_code": "968604908",
"telephone_number": "808-471-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 CENTRAL AVE",
"address_2": "NAVAL HEALTH CLINIC HAWAII",
"city": "JBPHH",
"state": "HI",
"postal_code": "968604908",
"telephone_number": "808-471-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MACKENZIE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "HI",
"license": "58-LD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbphh, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.