Miki Wong, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

604 Maunaloa Hwy
Kaunakakai, HI 96748

Phone

(808) 560-3653

Fax

(808) 560-3385

NPI assigned

Dec 4, 2017

Last updated

Apr 30, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4
• Direct secure messaging: miki.wong.1@21516.direct.athenahealth.com
• Direct secure messaging: miki.wong@hawaiihie.medicity.net

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

• NA Pu Uwai

  • Multi-Specialty Clinic/Center
  • Kaunakakai, HI
  • NPI 1649382508
  Medicare reassignment NPD
• Islands Hospice, Inc.

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1184932345
  NPD
• Molokai Ohana Health Care, Inc.

  dba Molokai Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kaunakakai, HI
  • NPI 1336805621
  NPD (past)
• NA Pu'Uwai

  • Adult Day Care Clinic/Center
  • Kaunakakai, HI
  • NPI 1447782123
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1891200556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261027",
            "telephone_number": "808-951-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAUNALOA HWY",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-560-3653",
            "fax_number": "808-560-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MIKI",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-04-30",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenhart Tancayo
• Jan Kanani Thomas, MSCP,NCC,LMHC,CSAC
• Donovan Steven Turchin, PT, DPT
• Wai Ola O Hina
• Jon Wataoka, PHARMD
• Vance Ashley Woodward, DO
• Tami Marie Asako Yamashita-Emhof, MSW, LCSW
• Leven Randal Yamazaki-Gray, LMHC
• Jacob Zivotofsky, MD

• Registered Dietitian in Kaunakakai, HI
• Providers in Kaunakakai, HI by specialty
• Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.