Devine Healthcare, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

111402 Issued in NE

Legal business name

DEVINE HEALTHCARE, LLC

Practice address

843 E 4TH St Ste a
Ainsworth, NE 69210

Phone

(402) 382-3555

Fax

(402) 382-3556

NPI assigned

Jan 9, 2017

Last updated

Aug 7, 2018By 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

Elizabeth Nelson, APRN

Title

Owner

Phone

(402) 382-3555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15415/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Elizabeth A. Devine, APRN

  • Nurse Practitioner
  • Ainsworth, NE
  • NPI 1609122175
  NPD
• Konni K Kluender, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ainsworth, NE
  • NPI 1982046363
  NPD

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1831635390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 E 4TH ST, STE A",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101207",
            "telephone_number": "402-382-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 E 4TH ST STE A",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "69210",
            "telephone_number": "402-382-3555",
            "fax_number": "402-382-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-382-3555",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NE",
            "license": "111402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Butterfield
• Melvin Allen Campbell, MD FACP
• Sara Ann Crisp, APRN, FNP-C
• Crystal G Dailey, APRN
• Dawn Family Practice LLC
• Elizabeth A. Devine, APRN
• Bryan Doke, DPT
• Educational Service Unit #17
• Alicia M Ericksen
• Evan C Evans, O.D.

• Health Service Clinic/Center in Ainsworth, NE
• Providers in Ainsworth, NE by specialty
• Health Service Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.