Serenity Clouds Family Practice PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SERENITY CLOUDS FAMILY PRACTICE PLLC

Practice address

13395 Voyager Pkwy Ste 446
Colorado Springs, CO 80921-7676

Phone

(720) 306-1965

Fax

(719) 434-9625

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Nicholas Brookins, NP

Title

NP/Owner

Phone

(719) 400-9442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1235764390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13060 DUCKHORN CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214019",
            "telephone_number": "719-400-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 VOYAGER PKWY STE 446",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217676",
            "telephone_number": "720-306-1965",
            "fax_number": "719-434-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CLOUDS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "BROOKINS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "719-400-9442",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.