Organization Active NPI

Divine Grace LLC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1801516687
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DIVINE GRACE LLC
Practice address
6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155
Phone
(602) 621-7561
Fax
(602) 837-5300
NPI assigned
Aug 31, 2022
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Sharon Uchechi Joshua, FNP-C, PMHNP-BCNPI 1497378541
Title
NP-BC
Phone
(602) 621-7561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155

Mailing address

6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155
Phone (602) 621-7561

National Provider Directory

National Provider Directory

Locations

4494 W Peoria Ave
Glendale, AZ 85302
Phone (623) 206-7541

6751 N Sunset Blvd
Ste 320
Glendale, AZ 85305
Phone (346) 833-6064

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1801516687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "602-621-7561",
            "fax_number": "602-837-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "602-621-7561",
            "fax_number": "602-837-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "UCHECHI",
        "authorized_official_title_or_position": "NP-BC",
        "authorized_official_telephone_number": "602-621-7561",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.