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KATHY A DIVINE
NPI 1730622705
Nurse Practitioner - Family in Springfield, MO

Active since November 23, 2016
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2600 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2017, Nov 23, 2016 (2 updates tracked since 2016).

About Kathy A Divine NPPES

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

KATHY A DIVINE (NPI 1730622705) is an individual family provider in Springfield, Missouri, licensed in Missouri (2017003053) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1730622705
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHY A DIVINE
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (855) 420-7900
Phone(417) 820-2600
Sole ProprietorNo
Enumeration DateNovember 23, 2016
Last NPPES UpdateFebruary 3, 20172 updates tracked since enumeration
✔ NPI 1730622705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2017003053
Also ListedRegistered NurseTaxonomy 163W00000X · License 079888 (MO)
1235 E CHEROKEE ST, Springfield, MO 65804
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Other Identifiers 4

Medicare PINPENDINGMO
MedicaidPENDINGMO
MedicaidPENDINGAR
MedicaidPENDINGOK

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.

MR. SUJAN POUDEL M.D.
Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2600
JANEL M OCHSE MD
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2000
DR. DAWN E ZABLOCKI MD
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
OLIVIA M. KILBURN CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
VIRGINIA MCLAUGHLIN SLP
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 576-3741
MARGARET BROWN MONTGOMERY APRN
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-6569
DEVIN B MOORE PA-C
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-5400
JACQUELYN B MARSHALL CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829

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 Kathy Divine's NPI number?

The NPI number for Kathy Divine is 1730622705. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Kathy Divine located?

Kathy Divine practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2600.

What is Kathy 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 Kathy Divine was last updated on February 3, 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.