IndividualActive
Nicole Divita
NPI 1669259099 · Community Health Worker · Grand Rapids, MI
Nicole Divita is a Community Health Worker provider in Grand Rapids, MI (NPI 1669259099).
Provider details
- NPI number
- 1669259099
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1115 Ball Ave Ne
Grand Rapids, MI 49505-5904
Phone: (616) 456-6571
Street-level locationGet directions
Mailing address
1032 Hoyt St Se
Grand Rapids, MI 49507-3717
Registry dates
- Enumerated
- 2023-09-11
- Last updated
- 2023-09-11
- Certified
- 2023-09-10
Frequently asked questions
- What is Nicole Divita's NPI number?
- Nicole Divita's National Provider Identifier (NPI) is 1669259099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Divita's specialty?
- Nicole Divita is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Nicole Divita located?
- Nicole Divita's practice location on file with NPPES is 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904.
- What is Nicole Divita's phone number?
- The practice phone number listed in the NPPES registry for Nicole Divita is (616) 456-6571.
- Is Nicole Divita's NPI active?
- Yes — Nicole Divita's NPI (1669259099) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.