Active NPI
Serenity Center for Health & Wellness
- Primary Care Nurse Practitioner
- Laurel, MD
National Provider Identifier
1659094530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- SERENITY CENTER FOR HEALTH & WELLNESS
- Practice address
- 9608 Boundless Shade Ter
Laurel, MD 20723-1490 - Phone
- (443) 774-8259
- Fax
- (443) 214-0542
- NPI assigned
- Sep 26, 2022
- 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
- Jennifer Lee Bryant, FNP
- Title
- FNP-BC
- Phone
- (443) 774-8259
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
9608 Boundless Shade Ter
Laurel, MD 20723-1490
Mailing address
9608 Boundless Shade Ter
Laurel, MD 20723-1490
Phone (443) 774-8259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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
- Laurel, MD
- NPI 1346819950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1659094530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9608 BOUNDLESS SHADE TER",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231490",
"telephone_number": "443-774-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9608 BOUNDLESS SHADE TER",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231490",
"telephone_number": "443-774-8259",
"fax_number": "443-214-0542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY CENTER FOR HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "FNP-BC",
"authorized_official_telephone_number": "443-774-8259",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.