Organization Active NPI

Royal Serenity Healthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1912897083
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROYAL SERENITY HEALTHCARE, LLC
Practice address
10573 Crossback LN
Lehigh Acres, FL 33936-6682
Phone
(239) 402-7439
Fax
(239) 230-2964
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mrs. Danielle Lashawn RussellNPI 1104468636
Title
Aprn MSN FNP-BC Pmhnp-BC
Phone
(239) 271-8280

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10573 Crossback LN
Lehigh Acres, FL 33936-6682

Mailing address

10573 Crossback LN
Lehigh Acres, FL 33936-6682
Phone (239) 402-7439

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": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1912897083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 CROSSBACK LN",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366682",
            "telephone_number": "239-402-7439",
            "fax_number": "239-230-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10573 CROSSBACK LN",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366682",
            "telephone_number": "239-402-7439",
            "fax_number": "239-230-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL SERENITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "APRN MSN FNP-BC PMHNP-BC",
        "authorized_official_telephone_number": "239-271-8280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.