Active NPI
Serenity Nutrition Inc
- Registered Dietitian
- St Augustine, FL
National Provider Identifier
1265356497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SERENITY NUTRITION INC
- Practice address
- 2200 N Ponce de Leon Blvd Ste 3
St Augustine, FL 32084-2650 - Phone
- (904) 793-5765
- NPI assigned
- Aug 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Avery, RDN LDN CLC
- Title
- Ceo
- Phone
- (904) 793-5765
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X |
Addresses
Primary practice location
2200 N Ponce de Leon Blvd Ste 3
St Augustine, FL 32084-2650
Mailing address
2200 N Ponce de Leon Blvd Ste 3
St Augustine, FL 32084-2650
Phone (904) 793-5765
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1265356497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N PONCE DE LEON BLVD STE 3",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842650",
"telephone_number": "904-793-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N PONCE DE LEON BLVD STE 3",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842650",
"telephone_number": "904-793-5765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY NUTRITION INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-793-5765",
"authorized_official_credential": "RDN LDN CLC"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Kirsten Nicole Senderling, DPT,PT
- Douglas Senecal, PA
- Senior Care of St Johns Operator LLC (St Johns Health Care Center)
- Sensational Kids Therapy, PLLC
- Martin-Jose Sepulveda, M.D.
- Alexis Session
- Donna Lynna Sexton, BEHAVIOR MANAGEMENT
- SGMD, PLLC (Goldwasser Urogynecology)
- Cheryl Ann Shaeffer, PT, DPT, MTC
- Shabna Shaik, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.