Nicole Matsuda, RD is a 
Dietitian, Registered based in Lanai City, Hawaii. Nicole Matsuda is licensed to practice in Hawaii (license number 00997848) and her current practice location is 
478 Lauhala Place, Lanai Community Health Center, Lanai City, Hawaii. She can be reached at her office (for appointments etc.) via phone at 
(808) 565-6919.
NPI number for Nicole Matsuda is 1497057574 and her current mailing address is 1561 Pensacola St, 1405, Honolulu, Hawaii. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497057574.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Nicole Matsuda | 
|---|
| Gender | Female | 
|---|
| Speciality | Dietitian, Registered | 
|---|
| Location | 478 Lauhala Place, Lanai City, Hawaii | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1497057574
- Provider Enumeration Date: 11/23/2010
- Last Update Date: 11/23/2010
 
		 
		 
Medical Identifiers
		Medical identifiers for Nicole Matsuda such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1497057574 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 133V00000X | Dietitian, Registered | 00997848 (Hawaii) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Matsuda is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Nicole Matsuda, RD 1561 Pensacola St, 1405,
 Honolulu, HI 96822-3893
 Ph: (808) 372-4315
 | Nicole Matsuda, RD 478 Lauhala Place, Lanai Community Health Center,
 Lanai City, HI 96763
 Ph: (808) 565-6919
 | 
		
		 
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