Active NPI
Divinely Coached
- Case Management Agency
- Suffolk, VA
National Provider Identifier
1205170602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- DIVINELY COACHED
- Practice address
- 328 Cedar St
Suffolk, VA 23434-4724 - Phone
- (757) 537-0275
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherress Hicks
- Title
- Ceo/Founder
- Phone
- (757) 537-0275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
328 Cedar St
Suffolk, VA 23434-4724
Mailing address
328 Cedar St
Suffolk, VA 23434-4724
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1205170602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 CEDAR ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 CEDAR ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344724",
"telephone_number": "757-537-0275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINELY COACHED",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "SHERRESS",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "757-537-0275"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.