=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841141843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DIVA BILLING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2026
-----------------------------------------------------
Last Update Date | 02/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1820 APPLEWOOD DR
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80215-2522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-834-7163
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1820 APPLEWOOD DR
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80215-2522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-834-7163
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | INSURANCE LIAISON
-----------------------------------------------------
Name | JESSICA BUCKINGHAM
-----------------------------------------------------
Credential | MBA, CPB, CPC, CPRC
-----------------------------------------------------
Telephone | 303-834-7163
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251X00000X
-----------------------------------------------------
Taxonomy Name | Supports Brokerage Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------