Active NPI
Serenity Telehealth LLC
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1902698160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SERENITY TELEHEALTH LLC
- Practice address
- 1209 Mountain Road PL NE Ste N
Albuquerque, NM 87110-7845 - Phone
- (347) 682-3040
- Fax
- (347) 682-3040
- NPI assigned
- May 21, 2025
- Last updated
- Sep 22, 2026
- 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
- Nneka Mbadiwe, NP
- Title
- Authorized Official
- Phone
- (347) 682-3040
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1209 Mountain Road PL NE Ste N
Albuquerque, NM 87110-7845
Mailing address
1209 Mountain Road PL NE Ste N
Albuquerque, NM 87110-7825
Phone (347) 682-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
150 Central Park Sq
Ste 55
Los Alamos, NM 87544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1902698160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE STE N",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107825",
"telephone_number": "347-682-3040",
"fax_number": "347-514-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE STE N",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107845",
"telephone_number": "347-682-3040",
"fax_number": "347-682-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY TELEHEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-21",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "MBADIWE",
"authorized_official_first_name": "NNEKA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "347-682-3040",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.