Complete Serenity Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COMPLETE SERENITY INC

Practice address

721 E Atlantic Blvd
Pompano Beach, FL 33060-6345

Phone

(954) 783-8300

Fax

(954) 783-8302

NPI assigned

Nov 20, 2018

Organization subpart

No

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

Authorized official

Name

Sharon Paulette Johnson-Hyatt, PMHNP-BCNPI 1396210555

Title

Owner of Entity

Phone

(954) 783-8300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon Paulette Johnson Hyatt

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
  • NPI 1396210555

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Monica Rodriguez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1427781442
  Medicare reassignment Care Compare group NPD
• Toussaint Golding

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1588355994
  Medicare reassignment NPD
• Kyle Jordan Aveiga, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1942044037
  Medicare reassignment

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1174092001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 SW 185TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330292777",
            "telephone_number": "954-783-8300",
            "fax_number": "954-783-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606345",
            "telephone_number": "954-783-8300",
            "fax_number": "954-783-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 SW 185th Ave",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330292777",
            "country_code": "US",
            "telephone_number": "954-801-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE SERENITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-HYATT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "954-783-8300",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

• Community Living, Inc.
• Compass Care Management LLC
• Compassion Care Health Clinic LLC
• Complete Health Centers of South Florida,Inc
• Complete Home Care of Broward, Inc Dba Hospital Without Walls
• Compmeds Solutions
• Comprehensive Medical Supply Company LLC
• Kristin Nicole Compton
• Confirmation Sa Inc
• Conner Industries, Inc

• Psychiatric/Mental Health Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.