TARRAH DIVINE FNP NPI 1154745537

NPI Information

  • NPI: 1154745537
  • Provider Name: TARRAH DIVINE, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2115 S FREMONT AVE
    STE 4300
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-3911

Map and Directions

Get Directions

NPI Details

Tarrah Divine, FNP is a family nurse practitioner in Springfield, MO. Tarrah Divine, FNP NPI is 1154745537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2115 S FREMONT AVE
STE 4300
SPRINGFIELD, MO
ZIP 65804-239
Phone: (417) 820-3911
Fax: (417) 820-3924

The enumeration date for this NPI number is 2/6/2014 and was last updated on 8/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2014003646MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI