Active NPI
Divine Grace LLC
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1497378541
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.