DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC
NPI 1104452804
Dermatology in Loveland, CO
About Divine Dermatology And Surgical Institute, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC (NPI 1104452804) is a healthcare organization registered as a dermatology in Loveland, Colorado and active in the NPI registry since March 2020. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Michelle Divine, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2174753
Divine Dermatology And Surgical Institute · Loveland, COCertificate for Provider-Performed Microscopy Procedures (PPMP) 06D2264489
Divine Dermotology And Surgical Institute · Longmont, COCertificate of Compliance 06D2130927
Divine Dermatology And Surgical Institute, PLLC · Fort Collins, COOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Divine Dermatology And Surgical Institute, PLLC's NPI number?
The NPI number for Divine Dermatology And Surgical Institute, PLLC is 1104452804. It was assigned to this organization in the NPPES registry on March 14, 2020. The provider is also known as Divine Dermatology and Surgical Institute.
Where is Divine Dermatology And Surgical Institute, PLLC located?
Divine Dermatology And Surgical Institute, PLLC is located at 1327 Eagle Dr, Loveland, CO 80537. The listed phone number is (970) 286-2668.
What is Divine Dermatology And Surgical Institute, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Divine Dermatology And Surgical Institute, PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Divine Dermatology And Surgical Institute, PLLC was last updated on March 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.