Organization Active NPI

The Divine Guide L.L.C.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Kaneohe, HI
National Provider Identifier
1902241185
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
APRN 430, RN 15975 Issued in HI
Legal business name
THE DIVINE GUIDE L.L.C.
Practice address
47-108 Hui Kelu PL
Kaneohe, HI 96744-4617
Phone
(808) 554-7489
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Gayle Setsuko Kutaka, PHDNPI 1912273004
Title
Advanced Practice Register Nurse
Phone
(808) 554-7489

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN 430 RN 15975 HI
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN 430, RN 15975 HI Primary

Addresses

Primary practice location

47-108 Hui Kelu PL
Kaneohe, HI 96744-4617

Mailing address

47-108 Hui Kelu PL
Kaneohe, HI 96744-4617
Phone (808) 554-7489

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1902241185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-108 HUI KELU PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444617",
            "telephone_number": "808-554-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-108 HUI KELU PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444617",
            "telephone_number": "808-554-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIVINE GUIDE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "KUTAKA",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "SETSUKO",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTER NURSE",
        "authorized_official_telephone_number": "808-554-7489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN 430 RN 15975",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN 430,  RN 15975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.