Divine Redemption LLC
NPI 1790536142 · Family Nurse Practitioner · Bolivar, MO
Divine Redemption LLC is a Family Nurse Practitioner organization in Bolivar, MO (NPI 1790536142).
Provider details
- NPI number
- 1790536142
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brandy Divine, Owner(417) 296-4140
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
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
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-03-28
Frequently asked questions
- What is Divine Redemption LLC's NPI number?
- Divine Redemption LLC's National Provider Identifier (NPI) is 1790536142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Redemption LLC?
- Divine Redemption LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Divine Redemption LLC located?
- Divine Redemption LLC's practice location on file with NPPES is 112 W Broadway, Bolivar, MO 65613.
- What is Divine Redemption LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Redemption LLC is (417) 296-4140.
- Who is the authorized official for Divine Redemption LLC?
- The authorized official listed on Divine Redemption LLC's NPPES record is Brandy Divine, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Redemption LLC's NPI active?
- Yes — Divine Redemption LLC's NPI (1790536142) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.