NPIMap

Organization Active NPI

Serene Spirit Mental Health Care, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Rochester, MN
National Provider Identifier
1447702139
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
CNS0482 Issued in MN
Legal business name
SERENE SPIRIT MENTAL HEALTH CARE, LLC
Practice address
315 Elton Hills Dr NW
Ste 201
Rochester, MN 55901-2988
Phone
(507) 322-6564
Fax
(507) 322-6566
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Ms. Dale Ann Nasby, PMHCNS-BCNPI 1912379264
Title
Owner/Clinical Nurse Specialist
Phone
(507) 322-6564

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)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X CNS0482 MN Primary

Addresses

Primary practice location

315 Elton Hills Dr NW
Ste 201
Rochester, MN 55901-2988

Mailing address

382 Norseman CT NW
Rochester, MN 55901-2430
Phone (507) 254-5208

National Provider Directory

National Provider Directory

Locations

315 Elton Hills Dr NW
Ste 201
Rochester, MN 55901
Phone (507) 322-6564

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1447702139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NORSEMAN CT NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012430",
            "telephone_number": "507-254-5208",
            "fax_number": "507-322-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ELTON HILLS DR NW",
            "address_2": "STE 201",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012988",
            "telephone_number": "507-322-6564",
            "fax_number": "507-322-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SPIRIT MENTAL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "NASBY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "507-322-6564",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "CNS0482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.