Divine Medical Outreach Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

R66896 Issued in AR

Legal business name

DIVINE MEDICAL OUTREACH SERVICES

Practice address

5553 Springvale Rd
North Little Rock, AR 72116-3740

Phone

(501) 516-2322

Fax

(501) 771-9211

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda Michelle Goldsby, R.N.

Title

Registered Nurse/Casemgr.

Phone

(501) 516-2322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1194901736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 SPRINGVALE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721163740",
            "telephone_number": "501-516-2322",
            "fax_number": "501-771-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 SPRINGVALE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721163740",
            "telephone_number": "501-516-2322",
            "fax_number": "501-771-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "GOLDSBY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "REGISTERED NURSE/CASEMGR.",
        "authorized_official_telephone_number": "501-516-2322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AR",
            "license": "R66896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameisha Dickerson
• Tiffany Diemer, PHARM. D.
• Laura Leigh Dill, RD
• Joshua Daniel Dilley, M.D.
• Dahlia Distin, CNP
• Caesar S Divino, DPM
• Janette Lashay Dixon
• Keith Alan Dixon, MD
• Jennifer Stratton DO, MD
• Robin Carol Dobbs, APN

• Health Service Clinic/Center in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.