BENJAMAN WUNDERLICH (NPI# 1548408354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548408354 |
| Entity Type | Individual |
| Full Name | BENJAMAN WUNDERLICH |
| Credential | MS, RD, LD |
| Practice Address |
1 Jarrett White Road Honolulu HI 96859-5000 |
| Mailing Address |
1 Jarrett White Road Tripler Army Medical Center Honolulu HI 96859 |
| Practice Telephone | 8084332387 |
| Mailing Telephone | 8084332387 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 978297 | UT | Dietary & Nutritional Service Providers |
| Street Address |
1 JARRETT WHITE ROAD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 1811533136 | Lasheika Banks | Registered Nurse | 1 Jarrett White Road, Honolulu, ID 96707 | 2019-11-21 |
| 1154776870 | Franchesca Moreau Desriviere | Midwife | 1 Jarrett White Road, Honolulu, HI 96859 | 2016-05-01 |
| 1114279361 | Jason C Metz | Psychologist | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2012-10-12 |
| 1932465291 | Linda C Ross | Psychologist | 1 Jarrett White Road, Honolulu, HI 96207 | 2012-04-11 |
| 1821360496 | Jessica M Harmon | Psychologist | 1 Jarrett White Road, Psychology, Tamc, Honolulu, HI 96814 | 2012-01-30 |
| 1497043376 | Stephanie C Fournier | Physical Therapist | 1 Jarrett White Road, Honolulu, HI 96859 | 2011-07-13 |
| 1407159189 | Amy Renee Beasley | Nurse Anesthetist, Certified Registered | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2010-12-17 |
| 1750612768 | Priscilla Rodriguez | Physician Assistant | 1 Jarrett White Road, Neurosurgery Clinic, Honolulu, HI 96859-5000 | 2010-01-15 |
| 1154560076 | Tarita Hughes | Registered Nurse | 1 Jarrett White Road, Honolulu, HI 96859 | 2009-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1649898560 | Lindsay Nakamura | Dietitian, Registered | 3514 Kaimuki Ave, Honolulu, HI 96816-2259 | 2020-07-07 |
| 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 |
| 1851935050 | Dashel Cassaundra Corpe | Dietitian, Registered | 38 S Judd St Apt 14a, Honolulu, HI 96817-2600 | 2019-10-30 |
| 1265088330 | Kathryn Conery | Dietitian, Registered | 1189 Waimanu St Apt 2101, Honolulu, HI 96814-4174 | 2019-08-14 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1801300256 | Nutrition Therapy Consultants Inc | Dietitian, Registered | 3615 Harding Ave Ste 510, Honolulu, HI 96816-3757 | 2017-11-21 |
| 1891231940 | Paul-john Pangilinan | Dietitian, Registered | 837 Ala Lilikoi St Apt 2, Honolulu, HI 96818-2430 | 2017-01-12 |
| Find all providers in HONOLULU | ||||
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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.