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MS. JENNIFER DIVITA D.O.
NPI 1063646529
Pediatrics in Charleston, WV

Active since May 12, 2009
830 PENNSYLVANIA AVE, STE 200, CHARLESTON, WV 25302(304) 388-2709(304) 344-1755 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer Divita D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER DIVITA D.O. (NPI 1063646529) is an individual pediatrics provider in Charleston, West Virginia, licensed in West Virginia (2474) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1063646529
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. JENNIFER DIVITACredential: D.O.
Location Address830 PENNSYLVANIA AVE, STE 200Charleston, WV 25302-3302
Mailing Address830 Pennsylvania Ave, Ste. 200Charleston, WV 25302-3302 · (304) 388-2709 · Fax (304) 344-1755
Phone(304) 388-2709
Fax(304) 344-1755
Sole ProprietorNo
Enumeration DateMay 12, 2009
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1063646529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 2474
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
830 PENNSYLVANIA AVE, Charleston, WV 25302
Open in Google Maps ↗

Other Identifiers 1

Medicaid3810023323WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN HAROLD BUSH MD
Obstetrics & Gynecology
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-1515
DR. JOHN M ECKERD M.D.
Pediatrics (Pediatric Cardiology)
830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302
Kanawha County (304) 388-1552
CARRIE MARIE BUSH M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 405
CHARLESTON, WV 25302
Kanawha County (304) 388-2980
MARCUS DODDRIDGE SHAFFER M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
PICKENS A. GANTT II M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
830 PENNSYLVANIA AVE, SUITE 205
CHARLESTON, WV 25302
Kanawha County (304) 388-2863
INTEGRATED HEALTH CARE PROVIDERS, INC.
Clinical Medical Laboratory
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
SCOTT A. NAEGELE, MD, PLLC
Obstetrics & Gynecology
830 PENNSYLVANIA AVE, SUITE 108
CHARLESTON, WV 25302
Kanawha County (304) 344-8368
MS. PEGGY SUE FISHER FNP, CRNA
Nurse Practitioner (Family)
830 PENNSYLVANIA AVE, SUITE 301
CHARLESTON, WV 25302
Kanawha County (304) 346-4455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Divita's NPI number?

The NPI number for Jennifer Divita is 1063646529. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Jennifer Divita located?

Jennifer Divita practices at 830 Pennsylvania Ave Ste 200, Charleston, WV 25302. The listed phone number is (304) 388-2709.

What is Jennifer Divita's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jennifer Divita accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jennifer Divita as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Divita was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.