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JENNIFER DIVELBISS LPN
NPI 1558901611
Licensed Practical Nurse in Medina, OH

Active since January 07, 2020
246 NORTHLAND DR STE 200A, MEDINA, OH 44256(330) 725-9195 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2020, Jan 7, 2020 (2 updates tracked since 2020).

About Jennifer Divelbiss Lpn NPPES

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

JENNIFER DIVELBISS LPN (NPI 1558901611) is an individual licensed practical nurse in Medina, Ohio, licensed in Ohio (LPN.151904.MEDS-IV) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1558901611
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJENNIFER DIVELBISSCredential: LPN
Location Address246 NORTHLAND DR STE 200AMedina, OH 44256-3440
Mailing Address246 Northland Dr Ste 200aMedina, OH 44256-3440 · (330) 725-9195
Phone(330) 725-9195
Sole ProprietorNo
Enumeration DateJanuary 7, 2020
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
✔ NPI 1558901611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.151904.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
246 NORTHLAND DR STE 200A, Medina, OH 44256
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Other Identifiers 1

Medicaid0392404OH

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.

EMILY HERRICK
Case Manager/Care Coordinator
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SAVANAH BORCUCH LSW
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MELINDA ANNE SILLIMAN QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MR. PHILIP BRADLEY LONDRICO CDCA
Counselor (Addiction (Substance Use Disorder))
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
LOIS WILLIAMS HART MSN,CNS
Registered Nurse (Psychiatric/Mental Health)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
JASMINE MYERS
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SHATAYLA CASONDA WATKINS QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MRS. JEANETTE INEZ PYCRAFT LISW
Social Worker (Clinical)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195

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 Divelbiss's NPI number?

The NPI number for Jennifer Divelbiss is 1558901611. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Jennifer Divelbiss located?

Jennifer Divelbiss practices at 246 Northland Dr Ste 200A, Medina, OH 44256. The listed phone number is (330) 725-9195.

What is Jennifer Divelbiss's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Divelbiss was last updated on February 26, 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.