Individual provider Active NPI

Mareka Kelly Jensen-Madison, BCNP

  • Nutritionist
  • Kaneohe, HI
National Provider Identifier
1710862883
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
44-137 Kauinohea PL Apt a
Kaneohe, HI 96744-2571
Phone
(808) 900-1507
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X HI Primary

Addresses

Primary practice location

44-137 Kauinohea PL Apt a
Kaneohe, HI 96744-2571

Mailing address

44-137 A Kauinohea PL
Kaneohe, HI 96744-2571
Phone (808) 900-1507

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

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1710862883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-137 A KAUINOHEA PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442571",
            "telephone_number": "808-900-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-137 KAUINOHEA PL APT A",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442571",
            "telephone_number": "808-900-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN-MADISON",
        "first_name": "MAREKA",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "BCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.