Divine Wellness Partners, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DIVINE WELLNESS PARTNERS, LLC

Practice address

4680 Lipscomb St NE Ste 10B
Palm Bay, FL 32905-2928

Phone

(321) 364-3758

Fax

(833) 635-8722

NPI assigned

Aug 25, 2025

Last updated

Aug 12, 2026By 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

Mrs. Tiffany James, APRN, FNP-C, BCPANPI 1588089098

Title

Owner/Founder

Phone

(321) 364-3758

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Tiffany James, APRN

  • Family Nurse Practitioner
  • Palm Bay, FL
  • NPI 1588089098
  Medicare reassignment Care Compare group NPD Authorized official
• Sondra Shantel Graham, LCSW

  • Clinical Social Worker
  • Darien, GA
  • NPI 1376587774
  Care Compare group NPD

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1881572238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 LIPSCOMB ST NE STE 10B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052928",
            "telephone_number": "321-364-3758",
            "fax_number": "833-635-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 LIPSCOMB ST NE STE 10B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052928",
            "telephone_number": "321-364-3758",
            "fax_number": "833-635-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Ocean Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "St Simons Island",
            "state": "GA",
            "postal_code": "315224819",
            "country_code": "US",
            "telephone_number": "321-364-3758",
            "fax_number": "833-635-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE WELLNESS PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "321-364-3758",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-C, BCPA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tram Dinh
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• Laura L Dion, LCSW
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• Tracey Aileen Doherty, CCC-SLP
• Jeanette Donaldson
• Dong Yo Acupuncture
• Donmacan Inc/Dba Progress House (Progress House)

• Family Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.