Individual provider Active NPI

Divina Rosario San Diego Verner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Abilene, KS
National Provider Identifier
1114021235
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04-32289 Issued in KS
Practice address
511 NE 10TH St
Abilene, KS 67410-2153
Phone
(785) 263-6684
Fax
(785) 263-6803
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A74067 CA
Physical Medicine & Rehabilitation Physician 208100000X 04-32289 KS Primary
Physical Medicine & Rehabilitation Physician 208100000X 150689 OR
Physical Medicine & Rehabilitation Physician 208100000X 60130112 WA

Addresses

Primary practice location

511 NE 10TH St
Abilene, KS 67410-2153

Mailing address

511 NE 10TH St
Abilene, KS 67410-2153
Phone (785) 263-6684

Other names 1

  • Dr. Divina Rosario Gaspar San Diego Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74067CAMDPhysical Medicine & Rehabilitation Physician
150689ORMDPhysical Medicine & Rehabilitation Physician
60130112WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Golding, M.D., P.S.C. Physical Medicine & Rehabilitation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: divina.verner@khindirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1114021235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NE 10TH ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102153",
            "telephone_number": "785-263-6684",
            "fax_number": "785-263-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NE 10TH ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102153",
            "telephone_number": "785-263-6684",
            "fax_number": "785-263-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "DIVINA ROSARIO",
        "middle_name": "SAN DIEGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A74067",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-32289",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "150689",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "60130112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVINA ROSARIO",
            "last_name": "SAN DIEGO",
            "middle_name": "GASPAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, KS

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.