IndividualActive
Amanda Divine, NURSE
NPI 1336591049 · Pediatric Nurse Practitioner · Wichita, KS
Provider details
- NPI number
- 1336591049
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- 53-78308-011 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
8725 E 32nd St N
Wichita, KS 67226-4008
Phone: (316) 201-1202
Fax: (316) 201-1251
Street-level locationGet directions
Mailing address
8725 E 32nd St N
Wichita, KS 67226-4008
Additional practice locations (1)
- 7570 W 21st St N Ste 1006bWichita, KS 67205-1773Phone: (316) 201-1202
Registry dates
- Enumerated
- 2016-07-06
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.