Active NPI
Elizabeth Kaoh, RDN
- Registered Dietitian
- Honolulu, HI
National Provider Identifier
1780242958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 274-LD
- Practice address
- 1152 Koko Head Ave Ste 205
Honolulu, HI 96816-3700 - Phone
- (808) 383-2081
- Fax
- (808) 201-4968
- NPI assigned
- Jun 3, 2019
- 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 | 274-LD | HI | Primary |
Addresses
Primary practice location
1152 Koko Head Ave Ste 205
Honolulu, HI 96816-3700
Mailing address
1152 Koko Head Ave Ste 205
Honolulu, HI 96816-3700
Phone (808) 383-2081
Other practice location 1
470 Lilihua Pl
Wailuku, HI 96793-1313
Phone (808) 283-1006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000609776 | Other | HI | BCBS - HAWAII |
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 |
|---|---|---|---|
| 274-LD | HI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Innate Living Inc | Dietitian, Registered | Past | Accepting new patients |
Locations
1152 Koko Head Ave
Ste 205
Honolulu, HI 96816
Phone (808) 383-2081
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": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1780242958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 KOKO HEAD AVE STE 205",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163700",
"telephone_number": "808-383-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 KOKO HEAD AVE STE 205",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163700",
"telephone_number": "808-383-2081",
"fax_number": "808-201-4968"
}
],
"practiceLocations": [
{
"address_1": "470 Lilihua Pl",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967931313",
"country_code": "US",
"telephone_number": "808-283-1006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAOH",
"first_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "HI",
"license": "274-LD",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - HAWAII",
"identifier": "0000609776",
"state": "HI"
}
],
"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 Nov 24, 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.