Kisha T Serrano, RN, BSN

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

RN.1671525 Issued in CO

Practice address

101 W 9TH St
Pueblo, CO 81003-4103

Phone

(719) 583-4364

Fax

(719) 583-4439

NPI assigned

Feb 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pueblo Department of Public Health and Environment

  • State or Local Public Health Clinic/Center
  • Pueblo, CO
  • NPI 1245228022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1093413205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 9TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034103",
            "telephone_number": "719-583-4364",
            "fax_number": "719-583-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 9TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034103",
            "telephone_number": "719-583-4364",
            "fax_number": "719-583-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "KISHA",
        "middle_name": "T",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CO",
            "license": "RN.1671525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliya Serdyuk
• Moira Annette Sergejev, FNP
• Amber Rose Serles, LMT
• Yvonne Serna
• Joel Anthony Serrano-Roman
• Gary Anthony Serravo, PA-C
• Jay Servey
• Hubert T. Servis, MD
• Frank L Settipani, MD
• Kathleen Shafer

• Clinical Nurse Specialist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.