SERENITY HEALTH CARE CENTER SC


Address: 2607 N Grandview Blvd, Waukesha, WI 53188-1686
Phone: 2625228640

SERENITY HEALTH CARE CENTER SC (NPI# 1770885220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770885220
Entity Type Organization
Organization Name SERENITY HEALTH CARE CENTER SC
Practice Address 2607 N Grandview Blvd
Waukesha
WI 53188-1686
Practice Telephone 2625228640
Mailing Telephone 2625228640
Enumeration Date 2010-12-03
Last Update Date 2016-01-06
Authorized Official Name DEBRA MUTH (PRESIDENT)
Authorized Official Telephone 4148409817
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
14469 WI Allopathic & Osteopathic Physicians
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
1167 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI NPI 1912089228 01

Office Location

Street Address 2607 N GRANDVIEW BLVD
City WAUKESHA
State WI
Zip Code 53188-1686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326031964 Bradley Theodore John Straka Dermatology 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 2005-08-30
1508409806 Kendra Bittner Counselor 2607 N Grandview Blvd, Waukesha, WI 53188-1686 2019-10-21
1790216554 Highlander Dermatology LLC Clinic/Center 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 2017-03-23
1134650302 Michael Richard Gissibl Counselor 2607 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1686 2017-03-21
1174975411 Midwest Natural Healing Chiropractor 2607 N Grandview Blvd, Waukesha, WI 53188-1686 2016-07-11
1245680081 Debra Sarnowski Counselor 2607 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1686 2016-06-13
1750741013 Nicole Flannery Counselor 2607 N Grandview Blvd, #110, Waukesha, WI 53188-1686 2016-03-01
1902208283 Amy Hoffman Nurse Practitioner 2607 N Grandview Blvd, Suite 150, Waukesha, WI 53188-1686 2014-09-18
1386051472 Jessica Niedermayer Counselor 2607 N Grandview Blvd, Suite 108, Waukesha, WI 53188-1686 2014-07-21
1043633159 Gary Swan Counselor 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188-1686 2014-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619992732 Debra A Muth Nurse Practitioner 2607 N Grandview Blvd Ste 150, Waukesha, WI 53188-1686 2006-07-12
1124186234 Betty Jean Kreuziger Nurse Practitioner 725 American Ave, Waukesha, WI 53188-5031 2006-12-04
1891785754 Kim Marie Henrichs Nurse Practitioner 20611 Watertown Rd, Waukesha, WI 53186-1871 2005-10-24
1417946492 Kathryn Marie Daly Nurse Practitioner 20611 Watertown Rd, Waukesha, WI 53186-1871 2005-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477103570 Denyse F Jackson Nurse Practitioner 65 S Elm St, Platteville, WI 53818-3107 2019-09-19
1043668528 Linda Helen Watson Nurse Practitioner 1828 E Main St, Suite 10, Onalaska, WI 54650-8780 2016-05-25
1033447594 Wise Woman Wellness LLC Nurse Practitioner 1480 Swan Rd, De Pere, WI 54115-7966 2009-11-20
1457585721 Laura Elizabeth Kwitek Nurse Practitioner 5543 E. Cheryl Parkway, Fitchburg, WI 53711 2009-05-14
1326210626 Diane Marie Rundle Nurse Practitioner 96 Stoddart St, Beaver Dam, WI 53916-1306 2008-03-26
1730381401 Margaret Mary Robertson Nurse Practitioner 3706 Orin Road, Madison, WI 53704 2007-06-04
1194939918 Deirdre Vyvyan Fowler Nurse Practitioner 1710 S 7th St, Milwaukee, WI 53204-3538 2007-05-10
1194848903 Britt Lapreil Wanta Nurse Practitioner 416 W Mifflin St, Madison, WI 53703-2502 2007-04-08
1538202262 Pamela Charlene Prince Nurse Practitioner 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 2007-02-14
1568508695 Donna Lee Hays Nurse Practitioner 1015 Burbank Ave, Janesville, WI 53546-6154 2007-01-29
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Competitor

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City WAUKESHA
Zip Code 53188

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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