C DIVINE LLC
NPI 1952950289
Nurse Practitioner - Family in Houston, TX

Active since September 09, 2019CLIA 45D2213550 · Waiver
14406 PARKESGATE DR, HOUSTON, TX 77083(832) 212-4739 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Sep 9, 2019 (2 updates tracked since 2019).

About C Divine Llc NPPES

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

C DIVINE LLC (NPI 1952950289) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Emiliana Ezechigbo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1952950289
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameC DIVINE LLC
Location Address14406 PARKESGATE DRHouston, TX 77083-5789
Mailing Address14406 Parkesgate DrHouston, TX 77083-5789
Organization SubpartNo
Authorized OfficialEmiliana EzechigboChief Executive Officer · (832) 212-4739
Enumeration DateSeptember 9, 2019
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1952950289 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 ListedFamily MedicineTaxonomy 207Q00000X
14406 PARKESGATE DR, Houston, TX 77083

Other Identifiers 1

OtherAP128425TX · License

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

Accepted 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 45D2213550

Cdivine LLC · Houston, TX
Active · expires Feb 13, 2027
CLIA Number45D2213550
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorEmiliana Omawumi Ezechigbo
Laboratory Phone(832) 212-4739
Laboratory LocationCdivine LLC14406 Parkesgate Dr, Houston, TX 77083
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
14406 PARKESGATE DR
HOUSTON, TX 77083

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 C Divine LLC's NPI number?

The NPI number for C Divine LLC is 1952950289. It was assigned to this organization in the NPPES registry on September 9, 2019.

Where is C Divine LLC located?

C Divine LLC is located at 14406 Parkesgate Dr, Houston, TX 77083. The listed phone number is (832) 212-4739.

What is C Divine LLC's specialty?

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

Does C Divine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2213550) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does C Divine LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list C Divine LLC 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 C Divine LLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.