Organization Active NPI

Serenity Network of Care, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1457667354
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SERENITY NETWORK OF CARE, PLLC
Practice address
2222 Fawn Mist LN Ste 3
San Antonio, TX 78248-1907
Phone
(210) 872-5530
Fax
(320) 210-8156
NPI assigned
Aug 30, 2010
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Mrs. Carla Ann Weaver, CPC
Title
Billing Manager
Phone
(325) 716-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2222 Fawn Mist LN Ste 3
San Antonio, TX 78248-1907

Mailing address

2222 Fawn Mist LN Ste 3
San Antonio, TX 78248-1907
Phone (210) 872-5530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1457667354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 FAWN MIST LN STE 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481907",
            "telephone_number": "210-872-5530",
            "fax_number": "320-210-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 FAWN MIST LN STE 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481907",
            "telephone_number": "210-872-5530",
            "fax_number": "320-210-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY NETWORK OF CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "325-716-8226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.