Blair Charlene Serna, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

771648 Issued in TX

Practice address

755 N 4TH St
Silsbee, TX 77656-3802

Phone

(409) 386-1222

NPI assigned

Feb 27, 2014

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

Other names 1

• Blair Charlene Ruiz Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1912904897
  Medicare reassignment NPD
• Gulf Coast Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1578287389
  NPD
• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Silsbee, TX
  • NPI 1225036932
  NPD (past)

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1902221997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 4TH ST",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563802",
            "telephone_number": "409-386-1222",
            "fax_number": "409-385-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 4TH ST",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563802",
            "telephone_number": "409-386-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2548 Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402825",
            "country_code": "US",
            "telephone_number": "409-983-1161",
            "fax_number": "409-982-0978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA",
        "first_name": "BLAIR",
        "middle_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "771648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "RUIZ",
            "middle_name": "CHARLENE",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Cecile Rumery, FNP
• Samaritan Counseling Center of Southeast Texas
• Sonia Magdalena Sciortino
• Lisa Shults, MED,CCC/SLP
• Silsbee Dentistry PLLC
• Silsbee Family Dentistry
• Silsbee Family Medicine, PA
• Silsbee Health Care Center LTD. Co

• Family Nurse Practitioner in Silsbee, TX
• Providers in Silsbee, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.