RONA BALICAS DIVINAGRACIA APRN PMHNP-BC CCM NPI 1932854213

NPI Information

  • NPI: 1932854213
  • Provider Name: RONA BALICAS DIVINAGRACIA, APRN, PMHNP-BC, CCM
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 POTTERY AVE
    PORT ORCHARD, WA
    ZIP 98366
  • Phone: (360) 895-5000

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NPI Details

Rona Balicas Divinagracia, APRN, PMHNP-BC, CCM is a psychiatric/mental health nurse practitioner in Port Orchard, WA with 3 years of experience. Rona Balicas Divinagracia, APRN, PMHNP-BC, CCM NPI is 1932854213. 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:

1400 POTTERY AVE
PORT ORCHARD, WA
ZIP 98366-711
Phone: (360) 895-5000
Fax: (877) 516-9023

The NPI 1932854213 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 10/15/2024.

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
1163W00000XRegistered NurseRN85093NEVADANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health867980NEVADANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61575192WASHINGTONYes

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

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