Divine Destiny Virtual Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIVINE DESTINY VIRTUAL HEALTH

Practice address

2631A NW 41St St
Gainesville, FL 32606-6628

Phone

(407) 732-2070

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Louella Pritchette, DO

Title

Owner

Phone

(407) 732-0720

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1235756313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631A NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066628",
            "telephone_number": "407-732-0720",
            "fax_number": "855-604-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631A NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066628",
            "telephone_number": "407-732-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Ashbourne Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272595",
            "country_code": "US",
            "telephone_number": "215-613-9894",
            "fax_number": "855-604-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE DESTINY VIRTUAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "PRITCHETTE",
        "authorized_official_first_name": "LOUELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-732-0720",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1104161017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1104161017",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104161017",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104161017",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://webapp.salustelehealth.com//Home/Account?Code=divinedestiny",
            "affiliation": "Y",
            "endpointDescription": "Patient acess",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "914 Memorial Dr",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315012917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Disdier
• Christopher Michael Ditomaso, PHARM.D.
• Rita Ditommaso, PA-C
• Diane Marie Ditrick, PHARM.D.
• Brandee Danielle Dittbrender
• Divine Speech and Swallowing Solutions LLC
• Arlene Dix
• Star Natasha Dix, ARNP
• Devika Dixit, MD
• Virginia Dixon-Wood, MA

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.