Organization Active NPI

Serenus Senior Care Advisors PLLC

Doing business as Serenus Neuropsychiatry Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, AL
National Provider Identifier
1154860153
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENUS SENIOR CARE ADVISORS PLLC
Doing business as
Serenus Neuropsychiatry Associates
Practice address
158 Heathrow Dr
Florence, AL 35633-1570
Phone
(256) 284-1320
Fax
(256) 320-1496
NPI assigned
Feb 23, 2017
Last updated
Jun 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Larry D Sneed, JD, MSN, APRNNPI 1336593292
Title
President & Managing Partner
Phone
(256) 284-1320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

158 Heathrow Dr
Florence, AL 35633-1570

Mailing address

158 Heathrow Dr
Florence, AL 35633-1570
Phone (256) 284-1320

Other names 1

  • Serenus Neuropsychiatry Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170828002817 TN Part B Supplier - Clinic/Group Practice 1850663733 Receives reassigned benefits from 2 practitioners
Practice locations: Murfreesboro, TN
O20180606000508 AL Part B Supplier - Clinic/Group Practice 1850663733 Receives reassigned benefits from 3 practitioners
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

158 Heathrow Dr
Florence, AL 35633
Phone (256) 284-1320

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1154860153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HEATHROW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331570",
            "telephone_number": "256-284-1320",
            "fax_number": "256-320-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HEATHROW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331570",
            "telephone_number": "256-284-1320",
            "fax_number": "256-320-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENUS SENIOR CARE ADVISORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & MANAGING PARTNER",
        "authorized_official_telephone_number": "256-284-1320",
        "authorized_official_credential": "JD, MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenus Neuropsychiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.