Denise Serna

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

3805 W 75TH PL
Chicago, IL 60652-1303

Phone

(773) 655-0493

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1346865730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W 75TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521303",
            "telephone_number": "773-655-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W 75TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521303",
            "telephone_number": "773-655-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 W 75th Pl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606521303",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207373747",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varisa Mimi Serirodom, PHARM. D.
• Anusak Seriruk, DPM
• Jonathan Serman, M.D.
• Becky Denise Serna, MSN, APRN, FNP-C
• Blanca Alicia Serna, MD
• Monica Serna, MA
• Lucas Serra, MD
• Samantha Serra
• Jaqueline Serrano Aguilar
• Coral Serrano Bennitt, MS, LCPC

• Homemaker in Chicago, IL
• Providers in Chicago, IL by specialty
• Homemaker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.