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DIVINITY HEALTHCARE CLINIC
NPI 1326676792
Nurse Practitioner - Family in Baton Rouge, LA

Active since March 31, 2020CLIA 19D2182938 · Waiver
4021 WE HECK CT STE B1, BATON ROUGE, LA 70816(225) 256-7945(225) 351-8910 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2020, Apr 21, 2020, Mar 31, 2020 (3 updates tracked since 2020).

About Divinity Healthcare Clinic NPPES

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

DIVINITY HEALTHCARE CLINIC (NPI 1326676792) is a healthcare organization registered as a family in Baton Rouge, Louisiana and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Dawn Melancon, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1326676792
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIVINITY HEALTHCARE CLINIC
Location Address4021 WE HECK CT STE B1Baton Rouge, LA 70816-0405
Mailing Address11515 Denham RdGonzales, LA 70737-7787 · (225) 301-2982
Phone(225) 256-7945
Fax(225) 351-8910
Organization SubpartNo
Authorized OfficialDawn MelanconFamily Nurse Practitioner · (225) 301-2982
Enumeration DateMarch 31, 2020
Last NPPES UpdateMay 5, 20203 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1326676792 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
4021 WE HECK CT STE B1, Baton Rouge, LA 70816
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 19D2182938

Divinity Health Clinic, LLC · Baton Rouge, LA
Active · expires Apr 27, 2028
CLIA Number19D2182938
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorDawn Melancon
Laboratory Phone(225) 256-7945
Laboratory LocationDivinity Health Clinic, LLC4021 W E Heck Ct, Suite G1-2, Baton Rouge, LA 70816
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Divinity Healthcare Clinic's NPI number?

The NPI number for Divinity Healthcare Clinic is 1326676792. It was assigned to this organization in the NPPES registry on March 31, 2020.

Where is Divinity Healthcare Clinic located?

Divinity Healthcare Clinic is located at 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816. The listed phone number is (225) 256-7945.

What is Divinity Healthcare Clinic's specialty?

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

Does Divinity Healthcare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2182938) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Divinity Healthcare Clinic accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Divinity Healthcare Clinic 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 Divinity Healthcare Clinic was last updated on May 5, 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.