JODI LESLIE MATSUO (NPI# 1720582869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720582869 |
| Entity Type | Individual |
| Full Name | JODI LESLIE MATSUO |
| Other Name | JODI LESLIE-LEDWARD |
| Credential | RD |
| Practice Address |
78-6831 Alii Dr Ste B-110 Kailua Kona HI 96740-2495 |
| Mailing Address |
Po Box 312 Captain Cook HI 96704-0312 |
| Practice Telephone | 8084436099 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 30-LD | HI | Dietary & Nutritional Service Providers |
| Street Address |
78-6831 ALII DR STE B-110 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2495 |
| 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 | 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 |
|---|---|---|---|---|
| 1194297655 | Janine Maira | Dietitian, Registered | 73-1408 Kaiminani Dr, Kailua Kona, HI 96740-9567 | 2018-12-21 |
| 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 |
| 1154931749 | Halie Taylor | Dietitian, Registered | 350 Aoloa St Apt B235, Kailua, HI 96734-3063 | 2020-08-07 |
| 1649898560 | Lindsay Nakamura | Dietitian, Registered | 3514 Kaimuki Ave, Honolulu, HI 96816-2259 | 2020-07-07 |
| 1144842428 | Christine Shokorian | Dietitian, Registered | 1450 S Kihei Rd Apt D108, Kihei, HI 96753-8164 | 2020-05-10 |
| 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 |
| 1952947400 | Aniase Hope Carveiro Soltren | Dietitian, Registered | 187 Hawaiiana St, Kapaa, HI 96746-9363 | 2019-11-20 |
| 1851935050 | Dashel Cassaundra Corpe | Dietitian, Registered | 38 S Judd St Apt 14a, Honolulu, HI 96817-2600 | 2019-10-30 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 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.