Stacey Breshears (NPI# 1619342573, PAC ID# 9234431438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1619342573 |
| PAC ID by PECOS | 9234431438 |
| Professional Enrollment ID | I20190502000384 |
| Full Name | Stacey Breshears |
| Organization Legal Name | EKAHI WELLNESS, LLC |
| Address |
500 Ala Moana Blvd Suite 6d Honolulu HI 96813-4984 |
| Phone Number | 8087774000 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 1850647876 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 321 N Kuakini St, Suite 201, Honolulu, HI 96817-2399 | 8087774000 | EKAHI WELLNESS, LLC |
| 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 | 8087774000 | EKAHI WELLNESS, LLC |
| Organization Legal Name | EKAHI WELLNESS, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Bathen | Nurse Practitioner | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Kelly A Furuike | Nurse Practitioner | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Tandis Bishop | Registered Dietitian Or Nutrition Professional | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Kristen Salles | Registered Dietitian Or Nutrition Professional | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Cori Gift | Clinical Social Worker | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Street Address |
500 ALA MOANA BLVD SUITE 6D |
| City | HONOLULU |
| State | HI |
| Zip | 96813-4984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin S Thomas | Infectious Disease | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | |
| Kristin Bathen | Nurse Practitioner | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Kelly A Furuike | Nurse Practitioner | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Audie P Asistin | Anesthesiology | 500 Ala Moana Blvd, Suite 1b, Honolulu, HI 96813-4902 | |
| David J Picken | Family Medicine | Straub Clinic and Hospital | 500 Ala Moana Blvd, Suite 230, Honolulu, HI 96813-4920 |
| Tandis Bishop | Registered Dietitian Or Nutrition Professional | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Kevin K Lum | Emergency Medicine | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 | |
| Kristen Salles | Registered Dietitian Or Nutrition Professional | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Cori Gift | Clinical Social Worker | Ekahi Wellness, LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Maryann Lk Kaiwi-salvador | Nurse Practitioner | Ekahi Wellcare LLC | 500 Ala Moana Blvd, Suite 6d, Honolulu, HI 96813-4984 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roswitha J Shanahan | Psychologist, Clinical | 2619 Haili Rd, Honolulu, HI 96813-1043 | |
| Eugene Kl Young | Optometry | 1125 Bethel St, Honolulu, HI 96813-2202 | |
| Pritam Tapryal | General Practice | 50 So Beretania St, Suite C119a, Honolulu, HI 96813-2215 | |
| Lynette W Tsai | Obstetrics/gynecology | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Kathy M Gadaingan | Nurse Practitioner | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Monique M Leung | Obstetrics/gynecology | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Eris Marie London | Nurse Practitioner | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Katherine Jean Bellomy | Certified Nurse Midwife | Lynette W Tsai Md Inc | 50 S Beretania St, Honolulu, HI 96813-2222 |
| Inam Ur Rahman | Internal Medicine | 50 S Beretania St, Suite C210b, Honolulu, HI 96813-2283 | |
| David Y S Yee | Podiatry | 50 S Beretania St, Honolulu, HI 96813-2287 | |
| Find all physicians in zip 96813 | |||
| City | HONOLULU |
| Zip Code | 96813 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | HONOLULU + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Stacey Breshears.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.