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SERENITY SPRINGS WELLNESS, PLLC
NPI 1225994866
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since December 29, 2025
3709 N LOCUST GROVE RD STE 150, MERIDIAN, ID 83646(208) 208-5430(208) 208-5431 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2026, Jan 16, 2026, Dec 29, 2025 (3 updates tracked since 2025).

About Serenity Springs Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY SPRINGS WELLNESS, PLLC (NPI 1225994866) is a healthcare organization registered as a psychiatric/mental health in Meridian, Idaho and active in the NPI registry since December 2025. The organization lists Samantha Blackburn, Np/manager, Provider, as its authorized official.

NPPES Registry Identity

NPI1225994866
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY SPRINGS WELLNESS, PLLC
Location Address3709 N LOCUST GROVE RD STE 150Meridian, ID 83646-5924
Mailing Address3709 N Locust Grove Rd Ste 150Meridian, ID 83646-5924 · (208) 208-5430 · Fax (208) 208-5431
Phone(208) 208-5430
Fax(208) 208-5431
Organization SubpartNo
Authorized OfficialSamantha BlackburnNp/manager, Provider · (208) 208-5430
Enumeration DateDecember 29, 2025
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1225994866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3709 N LOCUST GROVE RD STE 150, Meridian, ID 83646
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PHYLLIS ROSE NODLER LCPC
Counselor (Mental Health)
3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646
Ada County (208) 577-7634
SSF PSYCHOLOGICAL SERVICES PLLC
Psychologist
3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646
Ada County (208) 475-4690
AUTHENTIC BEGINNINGS PC
Marriage & Family Therapist
3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646
Ada County (805) 657-0009
MRS. SAMANTHA D'ANN BLACKBURN PMHNP-BC; FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646
Ada County (208) 208-5430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Springs Wellness, PLLC's NPI number?

The NPI number for Serenity Springs Wellness, PLLC is 1225994866. It was assigned to this organization in the NPPES registry on December 29, 2025.

Where is Serenity Springs Wellness, PLLC located?

Serenity Springs Wellness, PLLC is located at 3709 N Locust Grove Rd Ste 150, Meridian, ID 83646. The listed phone number is (208) 208-5430.

What is Serenity Springs Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Serenity Springs Wellness, PLLC was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.