Divergent Health Wellness-Nurse Practitioner in Adult Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVERGENT HEALTH WELLNESS-NURSE PRACTITIONER IN ADULT HEALTH

Practice address

50 Fountain PLZ
Buffalo, NY 14202-2230

Phone

(716) 333-8761

Fax

(716) 271-9177

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Dumadi Fernandez, NP

Title

Owner

Phone

(716) 333-8761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1942944822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142267448",
            "telephone_number": "716-333-8761",
            "fax_number": "716-271-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOUNTAIN PLZ",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022230",
            "telephone_number": "716-333-8761",
            "fax_number": "716-271-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT HEALTH WELLNESS-NURSE PRACTITIONER IN ADULT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DUMADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-333-8761",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin A Dittiger
• Jean Isabella Dittman, M.S.W., L.C.S.W.-R
• Guy Ditursi, DDS
• Sara Ditursi, PHARMD
• Alexandra Nicole Divasta
• Victoria Divilio, DDS
• Samuel E Divincenzo
• Mia Divirgilio
• Emily D Divita, PA
• Leacadia Dix

• Home Health Agency in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.