OrganizationActive
Divinity LLC
NPI 1013803360 · Psychiatry Physician · Loon Lake, WA
Divinity LLC is a Psychiatry Physician organization in Loon Lake, WA (NPI 1013803360).
Provider details
- NPI number
- 1013803360
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Kenyon-Miller, Owner(509) 990-9416
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3957 Garden Spot Rd
Loon Lake, WA 99148-9750
Phone: (509) 990-9416
Street-level locationGet directions
Mailing address
Po Box 1037
Loon Lake, WA 99148-1037
Other names (DBA / former)
- Doing business as
- Divinity
Registry dates
- Enumerated
- 2025-06-14
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Divinity LLC's NPI number?
- Divinity LLC's National Provider Identifier (NPI) is 1013803360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divinity LLC?
- Divinity LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Divinity LLC located?
- Divinity LLC's practice location on file with NPPES is 3957 Garden Spot Rd, Loon Lake, WA 99148-9750.
- What is Divinity LLC's phone number?
- The practice phone number listed in the NPPES registry for Divinity LLC is (509) 990-9416.
- Who is the authorized official for Divinity LLC?
- The authorized official listed on Divinity LLC's NPPES record is Kristin Kenyon-Miller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divinity LLC's NPI active?
- Yes — Divinity LLC's NPI (1013803360) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.