NPIMap

Organization Active NPI

Divine Diets, LLC

Doing business as Divine Living, LLC

  • Registered Dietitian
  • Laurel, MD
National Provider Identifier
1629829262
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DIVINE DIETS, LLC
Doing business as
Divine Living, LLC
Practice address
8405 Pamela Way
N/a
Laurel, MD 20723
Phone
(443) 761-9890
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Dr. Divya L Selvakumar, PHD, RD
Title
Co-Owner
Phone
(443) 761-9890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X

Addresses

Primary practice location

8405 Pamela Way
N/a
Laurel, MD 20723

Mailing address

8405 Pamela Way
N/a
Laurel, MD 20723
Phone (443) 761-9890

Other names 1

  • Divine Living, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Divine Diets LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1629829262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 PAMELA WAY",
            "address_2": "N/A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20723",
            "telephone_number": "443-761-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 PAMELA WAY",
            "address_2": "N/A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20723",
            "telephone_number": "443-761-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DIETS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SELVAKUMAR",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-761-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Living, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.