Divine Interventionist

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE INTERVENTIONIST

Practice address

609 Wolfeboro LN
Nashville, TN 37221-6616

Phone

(615) 218-4571

NPI assigned

Jul 23, 2026

Organization subpart

No

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

Authorized official

Name

Roncey Decoy Edmondson, CPRSNPI 1619811437

Title

Ceo- Non-Licensed Owner

Phone

(615) 218-4571

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roncey Decoy Edmondson

  • Peer Specialist
  • Nashville, TN
  • NPI 1619811437
  NPD (past) Authorized official

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1336060391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WOLFEBORO LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216616",
            "telephone_number": "615-218-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WOLFEBORO LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216616",
            "telephone_number": "615-218-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "RONCEY",
        "authorized_official_middle_name": "DECOY",
        "authorized_official_title_or_position": "CEO- NON-LICENSED OWNER",
        "authorized_official_telephone_number": "615-218-4571",
        "authorized_official_credential": "CPRS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Crumel Disher, M.D.
• Bennett Dishman
• Kurt Frederick Dittrich, MD
• Janet L Dittus, MD
• Robert Dittus, MD
• Divine Quality Care
• Divine Supports
• Tessa Talia Divine, BCBA, LBA
• Rachael Divinnie, N.P.
• Jenna Dix

• Community/Behavioral Health Agency in Nashville, TN
• Providers in Nashville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.