Pueo Institute of Holistic Medicine

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

PUEO INSTITUTE OF HOLISTIC MEDICINE

Practice address

54-2489 Kynnersley Road
Lot C
Kapaau, HI 96755

Phone

(808) 640-2106

NPI assigned

Sep 10, 2021

Organization subpart

Yes

Parent organization

SNRG ENTERPRISES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Dustin Gilbert Meza

Title

Ceo

Phone

(808) 640-2106

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Pueo Institute of Holistic Medicine

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1811666985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967551441",
            "telephone_number": "808-640-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54-2489 KYNNERSLEY ROAD",
            "address_2": "LOT C",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "96755",
            "telephone_number": "808-640-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEO INSTITUTE OF HOLISTIC MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNRG ENTERPRISES, INC",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MEZA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-640-2106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PueoRejuvenation@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "54-2489 KYNNERSLEY ROAD",
            "address_2": "Lot C",
            "city": "kapaau",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela C McKenna, M.D.
• Theodore Marshall Miller, OD
• Valery Christine Myers, APRN RX / FNP
• Caitlin Neal, RBT
• Katherine Pomeroy
• Kauanoe K Reyes, LMT
• Robert Watkins Emergency Group, LLC
• Sacred Life Wellness LLC
• Thomas L Shaver, D.O.
• Sylvia R Sonnenschein, DO

• Physical Disabilities Residential Treatment Facility in Kapa'au, HI
• Providers in Kapa'au, HI by specialty
• Physical Disabilities Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.