MRS. STACEY BRESHEARS (NPI# 1619342573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619342573 |
| Entity Type | Individual |
| Full Name | MRS. STACEY BRESHEARS |
| Credential | MS, RD, CDE |
| Practice Address |
500 Ala Moana Blvd Ste 6d Honolulu HI 96813-4984 |
| Practice Telephone | 8087774000 |
| Mailing Telephone | 8087774000 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
500 ALA MOANA BLVD STE 6D |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-4984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285824573 | Kimberly Jd Iese | Social Worker | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2007-08-01 |
| 1891395034 | Liana Nicole Hamada | Nurse Practitioner | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2020-10-27 |
| 1508464926 | Maggie Abernathy Baxley | Dietitian, Registered | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2020-10-16 |
| 1508499773 | Christina Huynh Benito | Social Worker | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2020-02-17 |
| 1821634015 | Patricia Lee | Pharmacist | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2019-11-21 |
| 1245894914 | Kathleen Kameenui Becker | Social Worker | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2019-04-27 |
| 1831656800 | Kristen Salles | Dietitian, Registered | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2019-02-26 |
| 1376031013 | Ekahi Wellness, LLC | Clinic/Center | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813 | 2018-04-27 |
| 1366943201 | Maryann Kaiwi-salvador | Nurse Practitioner | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2018-02-26 |
| 1386019388 | Kelly Ann Furuike | Registered Nurse | 500 Ala Moana Blvd Ste 6d, Honolulu, HI 96813-4984 | 2015-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534375 | Kaleia Marie Valin | Dietitian, Registered | 2740 Kuilei St Apt 2101, Honolulu, HI 96826-3425 | 2020-10-01 |
| 1821602491 | Christine Malosh | Dietitian, Registered | 4713 Oleander St, Honolulu, HI 96818-4176 | 2020-09-01 |
| 1649898560 | Lindsay Nakamura | Dietitian, Registered | 3514 Kaimuki Ave, Honolulu, HI 96816-2259 | 2020-07-07 |
| 1184253619 | Kathryn Seaton | Dietitian, Registered | 2386 E Manoa Rd, Honolulu, HI 96822-1938 | 2020-04-06 |
| 1922647684 | Joshua Riki Tomita | Dietitian, Registered | 773 Hahaione St, Honolulu, HI 96825-1030 | 2019-12-29 |
| 1851935050 | Dashel Cassaundra Corpe | Dietitian, Registered | 38 S Judd St Apt 14a, Honolulu, HI 96817-2600 | 2019-10-30 |
| 1265088330 | Kathryn Conery | Dietitian, Registered | 1189 Waimanu St Apt 2101, Honolulu, HI 96814-4174 | 2019-08-14 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1801300256 | Nutrition Therapy Consultants Inc | Dietitian, Registered | 3615 Harding Ave Ste 510, Honolulu, HI 96816-3757 | 2017-11-21 |
| 1891231940 | Paul-john Pangilinan | Dietitian, Registered | 837 Ala Lilikoi St Apt 2, Honolulu, HI 96818-2430 | 2017-01-12 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.