Organization Active NPI

Divinely Coached

  • Case Management Agency
  • Suffolk, VA
National Provider Identifier
1205170602
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Nov 26, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.