Divine Health LLC
NPI 1871240267ActiveOrganization· Nurse Practitioner, Family· Saint Paul, MN
Nurse Practitioner, Family in Saint Paul, Minnesota, registered in NPPES in March 2022. The authorized official on file is Victor T. Davis, Co-Owner.
Overview
| NPI | 1871240267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2022 |
| Last updated in NPPES | Mar 4, 2022 |
| Certified by provider | Mar 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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