Organization Active NPI

Divine Health Group LLC

  • Family Medicine Physician
  • Lamar, CO
National Provider Identifier
1013821271
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIVINE HEALTH GROUP LLC
Practice address
7545 US Highway 50
Lamar, CO 81052-9565
Phone
(719) 413-5261
Fax
(719) 888-1767
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DIVINE HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Cheyenne Elaine ShipmanNPI 1285128413
Title
Pmhnp-BC Owner
Phone
(719) 252-2386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7545 US Highway 50
Lamar, CO 81052-9565

Mailing address

7545 US Highway 50
Lamar, CO 81052-9565
Phone (719) 413-5261

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1013821271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 US HIGHWAY 50",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810529565",
            "telephone_number": "719-413-5261",
            "fax_number": "719-888-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 US HIGHWAY 50",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810529565",
            "telephone_number": "719-413-5261",
            "fax_number": "719-888-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE HEALTH GROUP LLC",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PMHNP-BC OWNER",
        "authorized_official_telephone_number": "719-252-2386"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.