Divine Anesthesia Care LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DIVINE ANESTHESIA CARE LLC

Practice address

2018 E Avenida del Sol
Phoenix, AZ 85024-8601

Phone

(240) 381-2929

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By 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

Veneda T Polite, CRNANPI 1952540577

Title

Owner

Phone

(240) 381-2929

Specialties & licenses 1

Addresses

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.

• Veneda Tawana Polite, CRNA

  • Certified Registered Nurse Anesthetist
  • Yuma, AZ
  • NPI 1952540577

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1982386884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 E AVENIDA DEL SOL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 E AVENIDA DEL SOL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248601",
            "telephone_number": "240-381-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANESTHESIA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "VENEDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-381-2929",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheeba Kalappurakkal Divakaran, NP
• Maribeth Diver, CNM
• Divergent Collective, Inc.
• Caitlin Kelsey Divers, ATC
• Diverse Ability Incorporated
• Divine Care Family Services LLC
• Divine Crystal Care
• Divine Embrace Residential Homes
• Divine Favour Health Services LLC
• Divine Grace Residential Care LLC

• Certified Registered Nurse Anesthetist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.