| Ms Nicole Sievers, RD CDE | |
| 4567 Hauaala Rd, Kapaa, HI 96746-1810 | |
| (808) 634-9379 | |
| (808) 468-9976 | 
| Full Name | Ms Nicole Sievers | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 4567 Hauaala Rd, Kapaa, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265471668 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 00928138 (Washington) | Primary | 
| Provider Name | Kauai Medical Clinic | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Nicole Sievers, RD CDE 4567 Hauaala Rd, Kapaa, HI 96746-1810 Ph: (808) 634-9379 | Ms Nicole Sievers, RD CDE 4567 Hauaala Rd, Kapaa, HI 96746-1810 Ph: (808) 634-9379 | 
| Julianne Penner,  Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 Kihapai St, Kapaa, HI 96746 Phone: 808-977-0351 | |
| Monica Moore,  Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4800 Kawaihau Rd, Kapaa, HI 96746 Phone: 808-631-5865 | |
| Aniase Hope Carveiro Soltren, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 187 Hawaiiana St, Kapaa, HI 96746 Phone: 808-482-1844 |