SERENE HEALTH IPA NPI 1235950080

NPI Information

  • NPI: 1235950080
  • Provider Name: SERENE HEALTH IPA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 410 UNIVERSITY PKWY STE 2000
    AIKEN, SC
    ZIP 29801
  • Phone: (706) 524-7134

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NPI Details

SERENE HEALTH IPA is a psychiatric/mental health nurse practitioner in Aiken, SC. SERENE HEALTH IPA NPI is 1235950080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

410 UNIVERSITY PKWY STE 2000
AIKEN, SC
ZIP 29801-808
Phone: (706) 524-7134

The provider's authorized official is Oscar V Medina .
The authorized official title is Ceo and has the following contact phone number (619) 259-6999.

The enumeration date for this NPI number is 10/23/2024 and was last updated on 10/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0004XPsychologistHealthNo
2171M00000XCase Manager/Care CoordinatorNo
3172V00000XCommunity Health WorkerNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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