Serenitynp, Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SERENITYNP, INC

Practice address

18-2 E Dundee Rd Ste 140
Barrington, IL 60010-5273

Phone

(847) 737-5277

Fax

(847) 737-5280

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Lee Johnson, APN

Title

President

Phone

(847) 737-5277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1144686155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-2 E DUNDEE RD STE 140",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105273",
            "telephone_number": "847-737-5277",
            "fax_number": "847-737-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-2 E DUNDEE RD STE 140",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105273",
            "telephone_number": "847-737-5277",
            "fax_number": "847-737-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITYNP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-737-5277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Schultz
• Rachael Ann Schuster, PH.D
• Sally Secker, LCPC, NCC
• Seeking Solace, PLLC
• Carleen P Senara -Rozens, APN, AGPCNP
• Sarah Serrato, LPC
• Janaki Hasmukh Shah-Desai, AGNP
• Avani Mehta Shah, M.D.
• Una Shah, M.D.
• Rachel Jean Shanley, AUD

• Nurse Practitioner in Barrington, IL
• Providers in Barrington, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.