Active NPI
Serenity Healthcare, LLC
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SERENITY HEALTHCARE, LLC
- Practice address
- 2646 S Loop W Ste 423
Houston, TX 77054-2678 - Phone
- (713) 234-7850
- Fax
- (713) 234-7844
- NPI assigned
- Sep 14, 2021
- 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
- Shanekwah Melville, FNP-C
- Title
- NP/Owner
- Phone
- (727) 272-3265
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2646 S Loop W Ste 423
Houston, TX 77054-2678
Mailing address
2646 S Loop W Ste 423
Houston, TX 77054-2678
Phone (713) 234-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2252541 | Serenity Healthcare LLC | Certificate of waiver | Feb 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
2646 S Loop W
Ste 423
Houston, TX 77054
Phone (713) 234-7850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1093167215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1407526288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 S LOOP W STE 423",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542678",
"telephone_number": "713-234-7850",
"fax_number": "713-234-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 S LOOP W STE 423",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542678",
"telephone_number": "713-234-7850",
"fax_number": "713-234-7844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2023-05-01",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "MELVILLE",
"authorized_official_first_name": "SHANEKWAH",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "727-272-3265",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.