Individual provider Active NPI

Loretta A. Sernekos, PHD, MSN, APN

  • Adult Health Nurse Practitioner
  • Hammonton, NJ
National Provider Identifier
1801130349
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00404500 Issued in NJ
Practice address
111 Vine St
Hammonton, NJ 08037-1447
Phone
(609) 561-2518
Fax
(609) 567-0934
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00404500 NJ Primary

Addresses

Primary practice location

111 Vine St
Hammonton, NJ 08037-1447

Mailing address

111 Vine St
Hammonton, NJ 08037-1447
Phone (609) 561-2518

Other names 1

  • Loretta A. Houston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1801130349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VINE ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371447",
            "telephone_number": "609-561-2518",
            "fax_number": "609-567-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VINE ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371447",
            "telephone_number": "609-561-2518",
            "fax_number": "609-567-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNEKOS",
        "first_name": "LORETTA",
        "middle_name": "A.",
        "credential": "PHD, MSN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00404500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "HOUSTON",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.