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TARRAH DIVINE FNP
NPI 1154745537
Nurse Practitioner - Family in Springfield, MO

Active since February 06, 2014
2115 S FREMONT AVE, STE 4300, SPRINGFIELD, MO 65804(417) 820-3911(417) 820-3924 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tarrah Divine Fnp NPPES

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

TARRAH DIVINE FNP (NPI 1154745537) is an individual family provider in Springfield, Missouri, licensed in Missouri (2014003646) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1154745537
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARRAH DIVINECredential: FNP
Location Address2115 S FREMONT AVE, STE 4300Springfield, MO 65804-2239
Mailing Address2115 S Fremont Ave, Suite 4300Springfield, MO 65804 · (417) 820-3911 · Fax (417) 820-3924
Phone(417) 820-3911
Fax(417) 820-3924
Sole ProprietorNo
Enumeration DateFebruary 6, 2014
Last NPPES UpdateAugust 10, 2017
✔ NPI 1154745537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2014003646
2115 S FREMONT AVE, Springfield, MO 65804
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Other Names 1

Former Name (1)Tarrah Blevins

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.

HEIDI K CRULL ANP-BC
Nurse Practitioner (Adult Health)
2115 S FREMONT AVE, STE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
GHULAM JEELANI SIDDIQUI MD
Internal Medicine (Gastroenterology)
2115 S FREMONT AVE, SUITE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
DR. KEITH W. ELLIS MD
Internal Medicine
2115 S FREMONT AVE, SUITE 2300
SPRINGFIELD, MO 65804
Greene County (417) 820-5600
CHAD D. HOLLAND PA-C
Physician Assistant
2115 S FREMONT AVE, SUITE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960
NATALIE A. BIEKER FNP
Nurse Practitioner (Family)
2115 S FREMONT AVE, STE 4300
SPRINGFIELD, MO 65804
Greene County (417) 829-3911
DR. KIMBERLY D. STOLL MD
Pediatrics
2115 S FREMONT AVE, SUITE 2900
SPRINGFIELD, MO 65804
Greene County (417) 820-3535
CHRISTOPHER D. KNUDSEN D.O.
Internal Medicine (Gastroenterology)
2115 S FREMONT AVE, SUITE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
KEITH R. ALLEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2115 S FREMONT AVE, STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960

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 Tarrah Divine's NPI number?

The NPI number for Tarrah Divine is 1154745537. It was assigned to this individual provider in the NPPES registry on February 6, 2014. The provider is also known as Tarrah Blevins.

Where is Tarrah Divine located?

Tarrah Divine practices at 2115 S Fremont Ave Ste 4300, Springfield, MO 65804. The listed phone number is (417) 820-3911.

What is Tarrah Divine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tarrah Divine was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.