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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Registered Dietitian
- St Augustine, FL
- NPI 1033899257
NPI 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.