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JUST DIVINE MEDICLINIC & MEDISPA ,LLC
NPI 1922754779
Nurse Practitioner - Primary Care in Humble, TX

Active since March 01, 2022CLIA 45D2285325 · Waiver
21650 ALDINE WESTFIELD RD, HUMBLE, TX 77338(832) 319-0696(659) 234-3758 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Just Divine Mediclinic & Medispa ,llc NPPES

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

JUST DIVINE MEDICLINIC & MEDISPA ,LLC (NPI 1922754779) is a healthcare organization registered as a primary care in Humble, Texas and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Tondra Robinson, Coo, as its authorized official.

NPPES Registry Identity

NPI1922754779
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameJUST DIVINE MEDICLINIC & MEDISPA ,LLC
Location Address21650 ALDINE WESTFIELD RDHumble, TX 77338-1092
Mailing AddressPo Box 60023Houston, TX 77205-0023 · (832) 319-0696 · Fax (659) 234-3758
Phone(832) 319-0696
Fax(659) 234-3758
Organization SubpartNo
Authorized OfficialTondra RobinsonCoo · (832) 319-0696
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1922754779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
21650 ALDINE WESTFIELD RD, Humble, TX 77338
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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

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 45D2285325

Just Divine Mediclinic & Medispa LLC · Humble, TX
Active · expires Jul 10, 2027
CLIA Number45D2285325
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorTondra Robinson
Laboratory Phone(832) 319-0696
Laboratory LocationJust Divine Mediclinic & Medispa LLC21650 Aldine Westfield Rd, Humble, TX 77338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TONDRA ROBINSON FNP-C
Nurse Practitioner (Family)
21650 ALDINE WESTFIELD RD
HUMBLE, TX 77338
Harris County (832) 319-0696
MATRIARCH CONSULTING SERVICES LLC
Radiology (Diagnostic Ultrasound)
21650 ALDINE WESTFIELD RD
HUMBLE, TX 77338
Harris County (832) 916-4299
EDRICKA GREENE RDMS
Radiology (Diagnostic Ultrasound)
21650 ALDINE WESTFIELD RD
HUMBLE, TX 77338
Harris County (713) 853-9139

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 Just Divine Mediclinic & Medispa ,llc's NPI number?

The NPI number for Just Divine Mediclinic & Medispa ,llc is 1922754779. It was assigned to this organization in the NPPES registry on March 1, 2022.

Where is Just Divine Mediclinic & Medispa ,llc located?

Just Divine Mediclinic & Medispa ,llc is located at 21650 Aldine Westfield Rd, Humble, TX 77338. The listed phone number is (832) 319-0696.

What is Just Divine Mediclinic & Medispa ,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Just Divine Mediclinic & Medispa ,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2285325) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Just Divine Mediclinic & Medispa ,llc was last updated on March 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.