Serenity Ford, CNC, CPT

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

601 W Kentucky Ave Ste 209
Pampa, TX 79065-4221

Phone

(806) 661-8951

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1275248494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 DOGWOOD LN",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653825",
            "telephone_number": "806-661-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W KENTUCKY AVE STE 209",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790654221",
            "telephone_number": "806-661-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SERENITY",
        "credential": "CNC, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Fiallo, M.D.
• Adrianna Estell Fields, M.S. CCC-SLP
• Michael NMN Follis, CRNA
• Mark Wayne Ford Jr., D.C.
• Samantha Ashley Ford, D.C.
• Mayra Louise Freeman-Ladd, MD
• Frogge Enterprises Inc (Family Pharmacy of Pampa)
• Diana Fuller
• Joanne R Genn, FNP-C
• Giang T. Nguyen, MD, PA

• Nutrition Education Nutritionist in Pampa, TX
• Providers in Pampa, TX by specialty
• Nutrition Education Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.