MRS. PENNY LOU KANESHINA (NPI# 1689865123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689865123 |
| Entity Type | Individual |
| Full Name | MRS. PENNY LOU KANESHINA |
| Credential | R. D. |
| Practice Address |
105 Mauilani Pkwy Wailuku HI 96793-2443 |
| Practice Telephone | 8088562115 |
| Practice Fax Number | 8082445712 |
| Mailing Telephone | 8088562115 |
| Mailing Fax Number | 8082445712 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2010-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | RD-896071 | HI | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
RD-896071 | HI | Dietary & Nutritional Service Providers |
| Street Address |
105 MAUILANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290150 | Loma Harrison Hassell II | Internal Medicine | 105 Mauilani Pkwy, Suite 100, Wailuku, HI 96793-2442 | 2005-10-27 |
| 1992975924 | Maui Nephrology LLC | Specialist | 105 Mauilani Pkwy, Ste.100, Wailuku, HI 96793-2442 | 2008-03-05 |
| 1194909986 | Maui Kidney Disease, Inc. | Internal Medicine | 105 Mauilani Pkwy, Suite 100, Wailuku, HI 96793-2442 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760635601 | Diana J.v. Franklin | Dietitian, Registered | 98-1005 Moanalua Rd Spc 420, Ckd Services of Pearlridge, Aiea, HI 96701-4702 | 2008-10-23 |
| 1134313356 | Lisa Ann Lai Wah Morita | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-30 |
| 1871786178 | Shirley Seeger | Dietitian, Registered | 98-1005 Moanalua Rd, Ste. 420, Ckd Services of Pearlridge, Aiea, HI 96701-4777 | 2007-08-21 |
| 1275724718 | Michelle Leigh Jackson | Dietitian, Registered | 3224 Elua St, Lihue, HI 96766-1213 | 2007-08-08 |
| 1770774200 | Kayoko Miyama Kashiwatani | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-08 |
| 1750572285 | Michelle Aguilar Rarama | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-08 |
| 1104017649 | Cathleen Tomie Sanpei | Dietitian, Registered | 91-2137 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2007-08-08 |
| 1649461161 | Aileen Aiko Ueunten | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-08 |
| 1558413344 | Raenell R Nakagawa | Dietitian, Registered | 98-1005 Moanalua Rd, Ste 420 - Ckd Services of Pearlridge, Aiea, HI 96701-4777 | 2007-01-18 |
| 1104921337 | Erlinda Sanguyo Peralta | Dietitian, Registered | 86-080 Farrington Hwy, Suite 101, Waianae, HI 96792-3069 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
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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.