Still Water Serenity Foundation LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

STILL WATER SERENITY FOUNDATION LLC

Practice address

133 Longmeadow Dr
Torrington, CT 06790-4170

Phone

(860) 387-7940

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garrett J Whittaker, APN, FNP

Title

Ceo/Owner

Phone

(860) 387-7940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1619718038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LONGMEADOW DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LONGMEADOW DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904170",
            "telephone_number": "860-387-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATER SERENITY FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-02",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "860-387-7940",
        "authorized_official_credential": "APN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nicole Steck, M.S., CCC-SLP
• Michelle L Steele, APRN
• David Craig Stekler, MD
• Brandy R Stepney, APRN
• Karen Stevens, LCSW
• Albert Stokes, LADC
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• Chelsea Stratton, PA-C
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• Andrew Robert Strickland, DMD

• Family Nurse Practitioner in Torrington, CT
• Providers in Torrington, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.