Keith M Horinouchi, M.N.T.

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

NUT000002 Issued in GU

Practice address

226 Chalan San Antonio
226 C/D Chalan San Antonio
Tamuning, GU 96913

Phone

(671) 646-9333

Fax

(671) 646-9334

NPI assigned

Nov 7, 2006

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Horinouchi Wellness Clinic

  • Nutritionist
  • Tamuning, GU
  • NPI 1043926231
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1073682415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 C/D CHALAN SAN ANTONIO",
            "address_2": "AMPAROS BUSINESS CENTER",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "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",
            "address_2": "226 C/D CHALAN SAN ANTONIO",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-9333",
            "fax_number": "671-646-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORINOUCHI",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "M.N.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "GU",
            "license": "NUT000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megumi Homma, DC
• Joshua Honculada
• Mary Ann Sibug Honculada
• David D.Y. Hong, P.A.
• Rai Bok Hong, M.D.
• Hunterspeaks Organization
• Cuong Ngoc Huynh, OD
• Barbara Ann Idechiil, RN
• Img P.C. (Img)
• Yoichi Inaba, M.D.

• Nutrition Education Nutritionist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Nutrition Education Nutritionist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.