Organization Active NPI

Serenity Health Clinic PLLC

  • Family Nurse Practitioner
  • Mandan, ND
National Provider Identifier
1316557101
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SERENITY HEALTH CLINIC PLLC
Practice address
2705 Sunset Dr Unit B
Mandan, ND 58554-1547
Phone
(701) 751-1060
NPI assigned
Aug 5, 2020
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Amanda Levey, FNPNPI 1316488083
Title
FNP/Owner
Phone
(701) 202-8789

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2705 Sunset Dr Unit B
Mandan, ND 58554-1547

Mailing address

2705 Sunset Dr Unit B
Mandan, ND 58554-1547
Phone (701) 751-1060

Other practice location 1

2730 Paintball Way
Lincoln, ND 58504-2503
Phone (701) 955-2102

National Provider Directory

National Provider Directory

Locations

2730 Paintball Way
Lincoln, ND 58504
Phone (701) 202-8789

2705 Sunset Dr
Unit B
Mandan, ND 58554
Phone (701) 253-0568

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1316557101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SUNSET DR UNIT B",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541547",
            "telephone_number": "701-751-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SUNSET DR UNIT B",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541547",
            "telephone_number": "701-751-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Paintball Way",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "ND",
            "postal_code": "585042503",
            "country_code": "US",
            "telephone_number": "701-955-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "LEVEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "701-202-8789",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.