Active NPI
Sere Path Wellness Center LLC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Coon Rapids, MN
National Provider Identifier
1780556233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- SERE PATH WELLNESS CENTER LLC
- Practice address
- 277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865 - Phone
- (612) 447-4747
- Fax
- (612) 688-7880
- NPI assigned
- Sep 23, 2025
- 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
- Yashmin Nagujja, APRN PMHNP-BC
- Title
- Owner
- Phone
- (612) 447-4747
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | Primary |
Addresses
Primary practice location
277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Mailing address
277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Phone (612) 447-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
277 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Coon Rapids, MN
- NPI 1972173961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1780556233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 COON RAPIDS BLVD NW STE 414",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335865",
"telephone_number": "612-447-4747",
"fax_number": "612-688-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 COON RAPIDS BLVD NW STE 414",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335865",
"telephone_number": "612-447-4747",
"fax_number": "612-688-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERE PATH WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-23",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "NAGUJJA",
"authorized_official_first_name": "YASHMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-447-4747",
"authorized_official_credential": "APRN PMHNP-BC"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.