Serene Springs Health & Wellness Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP124126 Issued in TX

Legal business name

SERENE SPRINGS HEALTH & WELLNESS CLINIC

Practice address

6300 Richmond Ave Ste 202
Houston, TX 77057

Phone

(832) 323-9277

NPI assigned

Jun 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nativida Etienne-Maule, DNP

Title

FNP

Phone

(434) 865-3449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527897600000",
    "number": "1902398258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RICHMOND AVE STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575927",
            "telephone_number": "434-865-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RICHMOND AVE STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "832-323-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SPRINGS HEALTH & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A",
        "authorized_official_last_name": "ETIENNE-MAULE",
        "authorized_official_first_name": "NATIVIDA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "434-865-3449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; 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.