Serenus Senior Care Advisors PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Florence, AL
NPI 1154860153 · NPPES record last updated Jun 19, 2020
Key facts
- NPI
- 1154860153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- SERENUS SENIOR CARE ADVISORS PLLC
- Practice address
- 158 Heathrow Dr
Florence, AL 35633-1570 - Phone
- (256) 284-1320
- Fax
- (256) 320-1496
- NPI assigned
- Feb 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Larry D Sneed, JD, MSN, APRN
- Title
- President & Managing Partner
- Phone
- (256) 284-1320
Practitioners 11
-
Laura Geneva Gilmer, CRNP
-
Larry Dewayne Sneed, APRN
-
Quinton Allen, PMHNP
-
Kellie Ann Bullard, LPC
-
Kelly Clemmons, LICSW
-
Nikki Lee Davenport, FNP-C, PMHNP-BC
-
Caitlin Hibbett, CRNP
-
Damon Quinn Smith, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
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
- Serenus Neuropsychiatry Associates
Other providers in Florence, AL
- Kristin E Seabol
- Alvaro M. Segura-Vasi
- Ryusuke Sekii
- Shea Elizabeth Self
- Serenity Family Medicine, LLC
- Joel Sessions
- Steven Ray Sewell
- Iqra Shakoor
- Harsh Sharma
- Carol Shaw
All providers in Florence, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.