SENIOR SERENITY HOME LLC (NPI# 1871121806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871121806 |
| Entity Type | Organization |
| Organization Name | SENIOR SERENITY HOME LLC |
| Practice Address |
3408 Winding Oak Ln E Burleson TX 76028-2366 |
| Practice Telephone | 8177277991 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | MISTY STASNEY (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 8177277991 |
| Authorized Official Credential | APRN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| JM Family Wellness Center | Doing Business As Name - Organization |
| Street Address |
3408 WINDING OAK LN E |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092470 | James Homer Vallaster | Nurse Practitioner | 825 Chestnut Ave, Burleson, TX 76028-7061 | 2020-11-01 |
| 1679184881 | Trang Ngoc Trinh | Nurse Practitioner | 11797 South Fwy Ste 330, Burleson, TX 76028-7035 | 2020-08-11 |
| 1285251041 | Simangele Ndhlovu Tshuma | Nurse Practitioner | 1696 Laramie Ln, Burleson, TX 76028-1786 | 2020-06-28 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1639673494 | Monica Renee Bravo | Nurse Practitioner | 224 Diamond Rose Dr, Burleson, TX 76028-0817 | 2018-03-19 |
| 1104337518 | Sheila Kathleen Dwyer | Nurse Practitioner | 11797 South Fwy Ste 234, Burleson, TX 76028-7035 | 2017-10-12 |
| 1629590534 | Misty Stasney | Nurse Practitioner | 3408 Winding Oak Lane East, Burleson, TX 76028 | 2017-07-12 |
| 1508220757 | Erica Michelle Francis | Nurse Practitioner | 12300 Bear Plz Ste 408, Burleson, TX 76028-9501 | 2016-04-13 |
| 1033505359 | Leamy Seabert | Nurse Practitioner | 205 Flagstone Dr, Burleson, TX 76028-3771 | 2015-04-14 |
| 1306249602 | Jackquelyn Denise Williams | Nurse Practitioner | 644 Creekview Dr, Burleson, TX 76028 | 2014-09-30 |
| Find all providers in BURLESON | ||||
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| 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.