Organization Active NPI

Serenity Primary Care LLC

  • Primary Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1821831553
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SERENITY PRIMARY CARE LLC
Practice address
2399 NW Via Della CT
Port St Lucie, FL 34986-4373
Phone
(772) 409-8009
Fax
(772) 409-8009
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mrs. Roseclaire Darang, FNPNPI 1033782545
Title
Family Nurse Practitioner
Phone
(772) 409-8009

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2399 NW Via Della CT
Port St Lucie, FL 34986-4373

Mailing address

11582 SW Village Pkwy Unit 283
Port St Lucie, FL 34987-2392
Phone (772) 409-8009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1821831553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11582 SW VILLAGE PKWY UNIT 283",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872392",
            "telephone_number": "772-409-8009",
            "fax_number": "772-409-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 NW VIA DELLA CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864373",
            "telephone_number": "772-409-8009",
            "fax_number": "772-409-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "DARANG",
        "authorized_official_first_name": "ROSECLAIRE",
        "authorized_official_title_or_position": "FAMILY  NURSE PRACTITIONER",
        "authorized_official_telephone_number": "772-409-8009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.