Serenity Recovery Services

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SERENITY RECOVERY SERVICES

Practice address

8410 Bustleton Ave Ste 2
Philadelphia, PA 19152-1924

Phone

(267) 361-8308

Fax

(215) 701-5888

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Tahira Dockery, CRNPNPI 1427342781

Title

Owner

Phone

(267) 291-4513

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tahira Dockery, CRNP

  • Family Nurse Practitioner
  • Feasterville Trevose, PA
  • NPI 1427342781
  NPD Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1386110955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OLD YORK RD # 1-526",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463925",
            "telephone_number": "267-361-8308",
            "fax_number": "215-701-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 BUSTLETON AVE STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521924",
            "telephone_number": "267-361-8308",
            "fax_number": "215-701-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "TAHIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-291-4513",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.