Divine Pathways

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE PATHWAYS

Practice address

10111 W Capitol Dr Ste 4
Wauwatosa, WI 53222-1335

Phone

(414) 461-5763

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Yolanda V Johnson

Title

Owner/Administrator

Phone

(414) 461-5763

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1801310800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 W CAPITOL DR",
            "address_2": "SUITE 4",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 W CAPITOL DR STE 4",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221335",
            "telephone_number": "414-461-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "414-461-5763"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan P Dickerson, M.S.,LCSW, LMFT, LPC
• Susan N Diederich, O.D.
• Dietitians for Mamas
• Virginia Dillon, NP
• Julianne Griep Ditscheit, OTRL
• Kori Danielle Doffek, MS, BCBA
• Selami Dogan
• Robert Leo Dohnal, RPH
• Kelsey Doll-Singh, FNP-BC
• Stephanie Dollar, OTR/L

• Home Health Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.