MIND BODY NUTRITION RN (NPI# 1639620222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639620222 |
| Entity Type | Organization |
| Organization Name | MIND BODY NUTRITION RN |
| Practice Address |
75-5995 Kuakini Hwy Ste 445 Kailua Kona HI 96740-2123 |
| Practice Telephone | 8083158466 |
| Mailing Telephone | 8083158466 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | DEBORAH VANCE-BEAUMONT (OWNER) |
| Authorized Official Telephone | 4158676457 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 2154 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75-5995 KUAKINI HWY STE 445 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836193 | Deborah Vance Beaumont | Clinical Nurse Specialist | 75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123 | 2016-08-15 |
| 1952920555 | Koa Community Clinic, Inc | Clinic/Center | 75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123 | 2020-04-13 |
| 1528576436 | Koa Clinic, Inc | Clinic/Center | 75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123 | 2018-01-12 |
| 1164950150 | Erin Lea Heidrich | Acupuncturist | 75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730736869 | Sue Kilp | Clinical Nurse Specialist | 91-127 Wailohia Pl, Ewa Beach, HI 96706-1854 | 2019-08-22 |
| 1780141648 | Trisha Kimi Barretto Inoue | Clinical Nurse Specialist | 888 S King St, Honolulu, HI 96813-3097 | 2019-02-27 |
| 1437620515 | Heidi Kyoko Garcia | Clinical Nurse Specialist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2018-12-16 |
| 1184923153 | Monika N Tomita | Clinical Nurse Specialist | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2011-03-16 |
| 1497801369 | Cecilia M Gue | Clinical Nurse Specialist | 2828 Paa St, Honolulu, HI 96819-4405 | 2007-01-25 |
| 1376690958 | Lois E Kakuni | Clinical Nurse Specialist | 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814-4402 | 2007-01-04 |
| 1457408049 | Paulette L Nakamura | Clinical Nurse Specialist | 2828 Paa St, Honolulu, HI 96819-4405 | 2007-01-04 |
| 1528137999 | Judith A. Mullen | Clinical Nurse Specialist | 2828 Paa St, Honolulu, HI 96819-4405 | 2006-11-07 |
| 1386726479 | Maureen M. Lynch | Clinical Nurse Specialist | 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814-4402 | 2006-10-19 |
| 1063594141 | Brenda M. Hiromoto | Clinical Nurse Specialist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.