Diabetes and Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

836581 Issued in HI

Legal business name

DIABETES AND NUTRITION LLC

Practice address

75-184 Hualalai Rd Ste 203
Kailua Kona, HI 96740-1719

Phone

(808) 329-9211

Fax

(808) 329-0009

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Terri L RyanNPI 1558540914

Title

Rd, Cde

Phone

(808) 345-6919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri L Ryan, RD

  • Registered Dietitian
  • Kailua Kona, HI
  • NPI 1558540914

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1780111401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4787",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454787",
            "telephone_number": "808-345-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-184 HUALALAI RD STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401719",
            "telephone_number": "808-329-9211",
            "fax_number": "808-329-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-05-24",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RD, CDE",
        "authorized_official_telephone_number": "808-345-6919"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "836581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558540914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marta L Derieg, MD
• Kristopher Lee Devers, DDS
• Devin Peck DDS, LLC
• Lauren Deweese
• Lisa M Di Natale, D.C.
• Diane Logan LLC
• Kenneth Lee Diehl, P.T.
• Douglas H. Dierenfield, D.D.S.
• Sarah Dillabough
• Aimee A Disharoon, CPM, LM

• 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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.