DIVINIA DEWAYNIA ELLIS
NPI 1972454841
Case Manager/Care Coordinator in North St Paul, MN
- Individual
- Female
- Case Manager/Care Coordinator
About DIVINIA ELLIS
This page provides the complete NPI Profile along with additional information for Divinia Ellis, a provider established in North St Paul, Minnesota with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1972454841 assigned on February 2026. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated February 2026.
- NPI
- 1972454841 Verify this NPI
- Provider Name
- DIVINIA DEWAYNIA ELLIS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2365 MCKNIGHT RD N NORTH ST PAUL, MN 55109
- Location Phone
- (651) 370-2373
- Location Fax
- (651) 370-2373
- Mailing Address
- 8430 YUCCA LN N MAPLE GROVE, MN 55369
- Mailing Phone
- (651) 370-2373
- Mailing Fax
- (651) 760-3236
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-06-2026
- Last Update Date
- 02-06-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- License State
- MN
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT PAUL, MN 55109
NORTH SAINT PAUL, MN 55109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972454841, enumerated as an "individual" on February 06, 2026.
The provider is located at 2365 MCKNIGHT RD N NORTH ST PAUL, MN 55109 and the phone number is (651) 370-2373.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
