Provider Demographics
NPI:1437670700
Name:SKOPINCEVA, JELENA (RD)
Entity Type:Individual
Prefix:
First Name:JELENA
Middle Name:
Last Name:SKOPINCEVA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-3158
Mailing Address - Country:US
Mailing Address - Phone:347-489-0006
Mailing Address - Fax:
Practice Address - Street 1:75-5870 WALUA RD STE 100
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1392
Practice Address - Country:US
Practice Address - Phone:347-489-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No133N00000XDietary & Nutritional Service ProvidersNutritionist