Amy Kathleen Serkland, RN, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN092855 Issued in AZ

Practice address

14395 W Voltaire St
Surprise, AZ 85379-6192

Phone

(520) 233-7111

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Adobe Provider Group

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1659850279
  NPD
• Adobe Care and Wellness LLC

  • Case Management Agency
  • Mesa, AZ
  • NPI 1346678935
  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1699357798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "520-233-7111",
            "fax_number": "602-357-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14395 W VOLTAIRE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796192",
            "telephone_number": "520-233-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERKLAND",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "RN092855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seraph Crest Recovery LLC
• Serenity Healthcare Systems
• Serenity of Surprise
• Serenity Preferred LLC
• Leonardo C Serfino, MD
• John Joseph Sesta, DDS
• Theresa Marie Seward, MA, LPC
• Wisam Fawzi Shaba, M.D
• Kathleen Nicole Shafer, PT, DPT
• Dawn Shagena

• Case Management Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Case Management Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.