Organization Active NPI

Serenity Health LLC

  • Chiropractor
  • Cookeville, TN
National Provider Identifier
1932508793
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2177 Issued in TN
Legal business name
SERENITY HEALTH LLC
Practice address
222 W Spring St
Cookeville, TN 38501-3228
Phone
(931) 854-1799
Fax
(931) 854-1799
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Jennifer J Wilson
Title
Owner
Phone
(931) 854-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2177 TN Primary

Addresses

Primary practice location

222 W Spring St
Cookeville, TN 38501-3228

Mailing address

222 W Spring St
Cookeville, TN 38501-3228
Phone (931) 854-1799

National Provider Directory

National Provider Directory

Locations

222 W Spring St
Cookeville, TN 38501
Phone (931) 303-6887

Practitioners & affiliated clinicians

Practitioners 4

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1932508793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013228",
            "telephone_number": "931-854-1799",
            "fax_number": "931-854-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013228",
            "telephone_number": "931-854-1799",
            "fax_number": "931-854-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-854-1799"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.