Imelda B Serrano, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN51128 Issued in TN

Practice address

2701 Wesleyan Dr
Anchorage, AK 99508-3771

Phone

(702) 481-3866

NPI assigned

May 31, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Agatha Home Healthcare LLC

  • Home Health Agency
  • Anchorage, AK
  • NPI 1669211926
  NPD Authorized official
• St.Agatha Home Health LLC

  • Home Health Agency
  • Henderson, NV
  • NPI 1003440140
  NPD

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1457798480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WESLEYAN DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "702-481-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 WESLEYAN DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083771",
            "telephone_number": "702-481-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "IMELDA",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN51128",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TN",
            "license": "RN51128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Sergie, D.M.D.
• Sarah Calvert Serns, MSN, ACNP
• Diana Seropian, LCSW
• Natalie Serrano-Ledesma
• Diana Serrano
• Jacquelyn Louise Serrano, MD, MPH
• Ellie Marie Servia, AUD
• Nikki Sese, RN
• Blake Sessions, D.M.D.
• Adren Setian

• All providers in Anchorage, AK
• Case Management Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.