Divine Behavioral Health Services LLC
NPI 1619563186ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Renton, WA
Nurse Practitioner, Psych/Mental Health in Renton, Washington, registered in NPPES in December 2020. The authorized official on file is Jane Nwankwookoye, ARNP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619563186 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2020 |
| Last updated in NPPES | Oct 14, 2025 |
| Certified by provider | Oct 14, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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