Divinity Wellness Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DIVINITY WELLNESS CENTER INC

Practice address

6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593

Phone

(605) 906-3078

Fax

(605) 316-3883

NPI assigned

Feb 3, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trisha Wimbs, DCNPI 1457655409

Title

Owner

Phone

(530) 906-6844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trisha Marie Wimbs, D.C.

  • Chiropractor
  • Roseville, CA
  • NPI 1457655409

  SD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1417653270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-906-3078",
            "fax_number": "605-316-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-906-3078",
            "fax_number": "605-316-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "WIMBS",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-906-6844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Dirksen, CNP
• Jesse Lee Dirksen, M.D.
• Katarina Kay Dirkson, FNP-C
• Klarissa Marie Disanto
• Diversified Enterprises, Inc. (Interim HealthCare of Sioux Falls)
• Amy J Dix, CRNP
• Brian Thomas Dix, D.P.M.
• Stacy Lynn Dixon, L.M.F.T
• Alexxa Rhyan Dlugosh
• Jakob Dobney

• Multi-Specialty Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Multi-Specialty Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.