Active NPI
Mary Leilani Yoshiko Gutierrez, A.P.R.N.
- Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4513
- Practice address
- 500 Ala Moana Blvd Ste 1300
Honolulu, HI 96813-4912 - Phone
- (808) 528-3657
- Fax
- (808) 524-6552
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN433 | HI | |
| Nurse Practitioner | 363L00000X | 4513 | MN | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 1300
Honolulu, HI 96813-4912
Mailing address
500 Ala Moana Blvd Ste 1300
Honolulu, HI 96813-4912
Phone (808) 528-3657
Other practice location 1
500 Ala Moana Blvd Ste 1-302
Honolulu, HI 96813-4925
Phone (808) 528-3657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Kapiolani Blvd
Suite 2020
Honolulu, HI 96814-4408
Phone (808) 272-7744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4513 | MN | MD | Physical Therapist |
| APRN433 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honolulu Pain Management Clinic, L.L.C. | Current | Accepting new patients |
Locations
500 Ala Moana Blvd
Ste 1300
Honolulu, HI 96813
Phone (808) 528-3657
500 Ala Moana Blvd
Ste 1302
Honolulu, HI 96813
Phone (808) 284-3601
Interoperability endpoints
- mary.gutierrez@37389611368452.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Waipahu, HI
- NPI 1407749112
-
- Pain Medicine (Anesthesiology) Physician
- Honolulu, HI
- NPI 1912057100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1306903273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 1300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134912",
"telephone_number": "808-528-3657",
"fax_number": "808-524-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 1300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134912",
"telephone_number": "808-528-3657",
"fax_number": "808-524-6552"
}
],
"practiceLocations": [
{
"address_1": "500 Ala Moana Blvd Ste 1-302",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968134925",
"country_code": "US",
"telephone_number": "808-528-3657",
"fax_number": "808-524-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MARY",
"middle_name": "LEILANI YOSHIKO",
"credential": "A.P.R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN433",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.