SERENITY HEART HEALTHCARE, LLC
NPI 1639776446
Nurse Practitioner - Psychiatric/Mental Health in Elkridge, MD

NPI Status: Active since October 05, 2020

Contact Information

6755 BUSINESS PKWY STE 304
ELKRIDGE, MD
ZIP 21075
Phone: (410) 299-4603

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SERENITY HEART HEALTHCARE, LLC

This page provides the complete NPI Profile along with additional information for Serenity Heart Healthcare, Llc, a provider established in Elkridge, Maryland operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1639776446 assigned on October 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Serenity Heart Healthcare, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Michelle A Tucker-jones Fnp-bc, Pmhnp-bc (Pmhnp-bc, Fnp-bc/owner)

NPI
1639776446
Provider Name
SERENITY HEART HEALTHCARE, LLC
Entity Type
Organization
Location Address
6755 BUSINESS PKWY STE 304 ELKRIDGE, MD 21075
Location Phone
(410) 299-4603
Mailing Address
1532 SPEEN CT HANOVER, MD 21076
Mailing Phone
(410) 299-4603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2020
Last Update Date
05-20-2021
Code Navigator

A nurse practitioner (NP) like Serenity Heart Healthcare, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MICHELLE A TUCKER-JONES FNP-BC, PMHNP-BC

Authorized Official Title
PMHNP-BC, FNP-BC/OWNER
Authorized Official Phone
(410) 299-4603

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639776446
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691471248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 7 + 1 + 2 + 4 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1639776446 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770999294 MICHELLE A TUCKER-JONES FNP-BC, PMHNP-BC
Individual
Nurse Practitioner (Family)6755 BUSINESS PKWY STE 304
ELKRIDGE, MD 21075
(410) 216-0268
1982279253SERENITY HEART HEALTHCARE, LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)6755 BUSINESS PKWY STE 304
ELKRIDGE, MD 21075
(410) 299-4603
1386309631 TAMICA MONIQUE HENRY
Individual
Home Health6755 BUSINESS PKWY STE 304
ELKRIDGE, MD 21075
(404) 201-4464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639776446, enumerated in the NPI registry as an "organization" on October 05, 2020

The provider is located at 6755 Business Pkwy Ste 304 Elkridge, Md 21075 and the phone number is (410) 299-4603

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on October 05, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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