Svetlana Serebryanaya, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11017974 Issued in FL

Practice address

3940 W Broward Blvd Apt 108
Fort Lauderdale, FL 33312-1071

Phone

(323) 854-4965

NPI assigned

Nov 24, 2018

Last updated

May 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393
  Medicare reassignment NPD
• WT Health of Florida LLC

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1982434106
  Medicare reassignment NPD
• Integrated Healthcare Mobile Solutions, LLC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1255749982
  Medicare reassignment NPD
• Jarvis Tzeng DO P a

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1104104488
  Medicare reassignment NPD
• Az Skin Sub LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1912618687
  NPD (past)

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1952870628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 W BROWARD BLVD APT 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121071",
            "telephone_number": "323-854-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 W BROWARD BLVD APT 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121071",
            "telephone_number": "323-854-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREBRYANAYA",
        "first_name": "SVETLANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "219330",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elitagallery@hotmail.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "3940 W Broward Blvd Apt 108",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333121071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacy Senior-Bromfield, MSW
• Michael G Sension, MD
• Defne Senturk
• Abigail McPhillips Serda, MD
• Michelle Morese Serda
• Leslie Blair Serena, LCSW
• Serenity Primary Care MD LLC
• Serenity Space Therapy LLC
• Richard Dominick Serianni, DPT
• Serinus Health Inc

• Family Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.