Divergent Dietitian — NPI 1083463749
Divergent Dietitian’s National Provider Identifier is 1083463749. NPPES classifies this as a Type 2 organization record and reports a practice location in Perrysburg, Ohio. The primary taxonomy is Adolescent and Children Mental Health Clinic/Center.
Key facts
- NPI
- 1083463749
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 308 LOUISIANA AVE
Perrysburg, Ohio 43551 - Practice telephone
- (567) 801-0792
- Primary taxonomy
- Adolescent and Children Mental Health Clinic/Center
- Enumeration date
- May 15, 2024
- NPPES last update
- September 11, 2025
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Divergent Dietitian?
The NPI listed for Divergent Dietitian in the NPPES snapshot is 1083463749. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1083463749 an individual or organization record?
NPPES records NPI 1083463749 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 308 LOUISIANA AVE, Perrysburg, Ohio 43551.
What taxonomy codes are listed for this NPI?
One taxonomy code is listed: Adolescent and Children Mental Health Clinic/Center (261QM0855X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of September 11, 2025 and an enumeration date of May 15, 2024, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Perrysburg, Ohio NPI directory and the Ohio NPI directory.
Other published profiles in Perrysburg, OH
Up to ten other profiles this site publishes for Perrysburg, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 42 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.