Individual provider Active NPI

Sherrie Sonomura, MPH RD CDCES

  • Registered Dietitian
  • Honolulu, HI
National Provider Identifier
1720096795
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
813064 Issued in HI
Practice address
1221 Victoria St Apt 703
Honolulu, HI 96814-1450
Phone
(415) 793-5679
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD-188 HI
Registered Dietitian 133V00000X 813064 HI Primary

Addresses

Primary practice location

1221 Victoria St Apt 703
Honolulu, HI 96814-1450

Mailing address

1221 Victoria St Apt 703
Honolulu, HI 96814-1450
Phone (415) 793-5679

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
813064HIMDRegistered Dietitian
LD-188HIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sherriesonomura@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1720096795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 VICTORIA ST APT 703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141450",
            "telephone_number": "415-793-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 VICTORIA ST APT 703",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141450",
            "telephone_number": "415-793-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONOMURA",
        "first_name": "SHERRIE",
        "credential": "MPH RD CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "LD-188",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "813064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.