DIVINE GRACE LLC
NPI 1801516687
Nurse Practitioner - Family in Glendale, AZ

Q: What is Divine Grace LLC's NPI number?

The NPI number for Divine Grace LLC is 1801516687. It was assigned to this organization in the NPPES registry on August 31, 2022.

Q: What is Divine Grace LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Divine Grace LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since August 31, 2022CLIA 03D2334559 · Waiver

6751 N SUNSET BLVD STE 320, GLENDALE, AZ 85305(602) 621-7561(602) 837-5300 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Aug 31, 2022 (2 updates tracked since 2022).

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About Divine Grace Llc NPPES

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

DIVINE GRACE LLC (NPI 1801516687) is a healthcare organization registered as a family in Glendale, Arizona and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Sharon Uchechi Joshua, Np-bc, as its authorized official.

NPPES Registry Identity

NPI1801516687

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDIVINE GRACE LLC

Location Address6751 N SUNSET BLVD STE 320Glendale, AZ 85305-3155

Mailing Address6751 N Sunset Blvd Ste 320Glendale, AZ 85305-3155 · (602) 621-7561 · Fax (602) 837-5300

Phone(602) 621-7561

Fax(602) 837-5300

Organization SubpartNo

Authorized OfficialSharon Uchechi JoshuaNp-bc · (602) 621-7561

Enumeration DateAugust 31, 2022

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1801516687 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

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

6751 N SUNSET BLVD STE 320, Glendale, AZ 85305

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2334559

Divine Grace Family Practice · Phoenix, AZ

Active · expires Nov 23, 2027

CLIA Number03D2334559

Laboratory TypePractitioner Other

Certificate Effective DateNovember 24, 2025

Certificate Expiration DateNovember 23, 2027

Laboratory DirectorSharon U. Joshua

Laboratory Phone(602) 621-7561

Laboratory LocationDivine Grace Family Practice4202 W Camelback Rd Ste 9, Phoenix, AZ 85019

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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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.

SAFE & SECURE TRANSPORTATION LLC

Non-emergency Medical Transport (VAN)