Divine Health and Wellness, LLC
NPI 1790528164 · Health Service Clinic/Center · Sapulpa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Health and Wellness, LLC is a Health Service Clinic/Center organization in Sapulpa, OK (NPI 1790528164).
Provider details
- NPI number
- 1790528164
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samantha Bryan, Director(918) 510-4349
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
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
Mailing address
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Frequently asked questions
- What is Divine Health and Wellness, LLC's NPI number?
- Divine Health and Wellness, LLC's National Provider Identifier (NPI) is 1790528164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Health and Wellness, LLC?
- Divine Health and Wellness, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divine Health and Wellness, LLC located?
- Divine Health and Wellness, LLC's practice location on file with NPPES is 16 S Water St, Sapulpa, OK 74066-4232.
- What is Divine Health and Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Health and Wellness, LLC is (918) 347-9022.
- Does Divine Health and Wellness, LLC accept Medicare?
- Divine Health and Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Divine Health and Wellness, LLC?
- The authorized official listed on Divine Health and Wellness, LLC's NPPES record is Samantha Bryan, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Health and Wellness, LLC's NPI active?
- Yes — Divine Health and Wellness, LLC's NPI (1790528164) is active in the NPPES registry as of the last update on 2024-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.