Jodi Leslie Matsuo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

30-LD Issued in HI

Practice address

78-6831 Alii Dr Ste B-110
Kailua Kona, HI 96740-2495

Phone

(808) 443-6099

NPI assigned

Mar 22, 2018

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

Other names 1

• Jodi Leslie-Ledward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jodi.leslie.matsuo.1@18449.direct.athenahealth.com

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1720582869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967040312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE B-110",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "808-443-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE MATSUO",
        "first_name": "JODI",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "30-LD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "LESLIE-LEDWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reuben Lelah, PSY.D.
• Lilliana Patricia Lema Montoya
• Leo a. Cortez, M.D., Inc.
• Jeffrey Auld Lepley, PT, DPT
• Debra Leslie Lerman, P.T.
• Suzanne Kay Leter, LCSW
• Rose Letuli
• Philippe T Levy, MD
• Melissa Liao
• Liberty Dialysis - Hawaii LLC (Liberty Dialysis Hawaii - Kona Dialysis)

• Registered Dietitian in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.