Organization Active NPI

Dr. Horinouchi Wellness Clinic

  • Nutritionist
  • Tamuning, GU
National Provider Identifier
1043926231
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
DR. HORINOUCHI WELLNESS CLINIC
Practice address
226 Chalan San Antonio
Tamuning, GU 96913-3525
Phone
(671) 646-9333
Fax
(671) 646-9334
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith Horinouchi, DRPH, MPH, CNSNPI 1073682415
Title
Nutrition Specialist
Phone
(671) 646-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

226 Chalan San Antonio
Tamuning, GU 96913-3525

Mailing address

226 Chalan San Antonio
Tamuning, GU 96913-3525
Phone (671) 646-9333

National Provider Directory

National Provider Directory

Locations

226 Chalan San Antonio
Tamuning, GU 96913
Phone (671) 646-9333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1043926231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CHALAN SAN ANTONIO",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133525",
            "telephone_number": "671-646-9333",
            "fax_number": "671-646-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CHALAN SAN ANTONIO",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133525",
            "telephone_number": "671-646-9333",
            "fax_number": "671-646-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HORINOUCHI WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "HORINOUCHI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "NUTRITION SPECIALIST",
        "authorized_official_telephone_number": "671-646-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH, MPH, CNS"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.