Divinity Diagnostic & Wellness Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DIVINITY DIAGNOSTIC & WELLNESS INC

Practice address

2002 20TH St Ste B202
Kenner, LA 70062-4403

Phone

(504) 667-3641

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Lateda T Williams, CMANPI 1548013642

Title

Owner

Phone

(504) 274-6023

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Lateda Williams, CMA

  • Other Technician
  • Kenner, LA
  • NPI 1548013642
  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1336992437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 20TH ST STE B202",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624403",
            "telephone_number": "504-667-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 20TH ST STE B202",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624403",
            "telephone_number": "504-667-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY DIAGNOSTIC & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATEDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-274-6023",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles V. Dileo, O.D.
• Marilyn Dale Dimarco, APRN/FNP
• Thu Nguyen Hoai Dinh
• Discovery Health Sciences Foundation
• Divine Beginnings Counseling LLC
• N'Jeri Kai Dixon, APRN
• David Bui DO, PHARMD
• Christina Dolese, LMSW
• Joseph Leonard Dongieux, D.D.S.,M.D.S.
• Cedrick Doucet, MSW

• Clinic/Center in Kenner, LA
• Providers in Kenner, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.