Individual provider Active NPI

Kesha Alicia Royal Gute, MSW, LGSW

  • Social Worker
  • Woodbury, MN
National Provider Identifier
1134946759
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
30028 Issued in MN
Practice address
People First Clinic PLLC
652 Bielenberg Drive Suite 202
Woodbury, MN 55125
Phone
(651) 401-2134
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 30028 MN Primary

Addresses

Primary practice location

People First Clinic PLLC
652 Bielenberg Drive Suite 202
Woodbury, MN 55125

Mailing address

3257 Russell Ave N Ste 202
Minneapolis, MN 55412-2234
Phone (651) 401-2134

Other names 1

  • Kesha Alicia Royal Gute Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30028MNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1134946759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 RUSSELL AVE N STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122234",
            "telephone_number": "651-401-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEOPLE FIRST CLINIC PLLC",
            "address_2": "652 BIELENBERG DRIVE SUITE 202",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-401-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL GUTE",
        "first_name": "KESHA",
        "middle_name": "ALICIA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "30028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESHA",
            "last_name": "ROYAL GUTE",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.