Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Julianne Penner

Individual provider Registered Dietitian · NPI 1073343117

Julianne Penner is a Registered Dietitian OR Nutrition Professional in Kapaa, Hawaii. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Hawaii and Illinois.

Years since qualifying
16
Licensed in
HI, IL
In the registry since
2024
Specialties on file
3

Practice location Address checks out

301 Kihapai St
Kapaa, HI 96746-1339
Phone: (808) 977-0351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 492-LD (HI)
Registered Dietitian Taxonomy 133V00000X · Licence 164012234 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1073343117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address301 Kihapai St, Kapaa, HI 96746-1339

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kapaa