Amanda Divine

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 19, 2026

Quick Facts

NPI Number
1124957667
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy163WC0400X — Specialty not listed
Phone
(304) 350-9975
StateWV

NPI Validation Status: Verified

Valid 10-digit NPI number (1124957667)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 19, 2026)
Data source: CMS NPPES

Provider Overview

AMANDA DIVINE is a Healthcare provider based in Ranson, WV who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124957667
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateMay 19, 2026

Practice Location

CityRanson
StateWV
ZIP Code25438-4877
Phone(304) 350-9975

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code163WC0400X
License StateWV

Mailing Address

CityRanson
StateWV
ZIP Code25438-4877
Phone(304) 350-9975
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124957667 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124957667for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124957667 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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5,945
Specialty not listed Providers in the US

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Brittany Wellman-ashton, RN

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People Also Ask

What is Amanda Divine's NPI number?
Amanda Divine's NPI number is 1124957667, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Amanda Divine's NPI currently active?
Yes, Amanda Divine's NPI status is Active as of the latest CMS NPPES database updates.
What does Amanda Divine specialize in?
Amanda Divine specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 163WC0400X.
Where does Amanda Divine practice?
Amanda Divine practices in Ranson, WV 25438-4877.
When was Amanda Divine's NPI issued?
Amanda Divine's NPI was issued on May 19, 2026.
What is Amanda Divine's provider type?
Amanda Divine is registered as an Individual Provider under CMS NPI Type 1.