The Balanced Brain LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE BALANCED BRAIN LLC

Practice address

7192 Kalanianaole Hwy # E206A
Honolulu, HI 96825-1800

Phone

(808) 800-8148

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Courtnee M Nunokawa, DNP, APRN-RX, AGPCNPNPI 1508268913

Title

Managing Member, Nurse Practitioner

Phone

(808) 800-8148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtnee Nunokawa, APRN-RX, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Honolulu, HI
  • NPI 1508268913
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1447978176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY # E206A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-800-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY # E206A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-800-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALANCED BRAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "NUNOKAWA",
        "authorized_official_first_name": "COURTNEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "808-800-8148",
        "authorized_official_credential": "DNP, APRN-RX, AGPCNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.