NPIMap

Organization Active NPI

Serenity Iop LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Paris, KY
National Provider Identifier
1114271400
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
1075442 Issued in KY
Legal business name
SERENITY IOP LLC
Practice address
18 Clinic Dr
Paris, KY 40361-2161
Phone
(859) 585-0015
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Nita Hale, BSN
Title
Owner
Phone
(859) 588-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0809X 1075442 KY Primary

Addresses

Primary practice location

18 Clinic Dr
Paris, KY 40361-2161

Mailing address

18 Clinic Dr
Paris, KY 40361-2161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1114271400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CLINIC DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CLINIC DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612161",
            "telephone_number": "859-585-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY IOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-588-0015",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "1075442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.