Divine Interventions

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A02935 Issued in AR

Legal business name

DIVINE INTERVENTIONS

Practice address

425-A N. Centennial
West Fork, AR 72774-1006

Phone

(479) 839-2670

Fax

(479) 294-6067

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Sandy M Branson, APN

Title

Manager

Phone

(479) 839-2670

Specialties & licenses 1

Addresses

Other names 1

• Compassion Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1386895100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727741006",
            "telephone_number": "479-839-2670",
            "fax_number": "479-294-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425-A N. CENTENNIAL",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727741006",
            "telephone_number": "479-839-2670",
            "fax_number": "479-294-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "BRANSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-839-2670",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A02935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acute Care Nurse Practitioner in West Fork, AR
• Providers in West Fork, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.