SERENITYPASS HOLISTIC HEALTH PLLC
NPI 1639935281
Nurse Practitioner - Family in Sandoval, IL
About Serenitypass Holistic Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENITYPASS HOLISTIC HEALTH PLLC (NPI 1639935281) is a healthcare organization registered as a family in Sandoval, Illinois and active in the NPI registry since February 2024. The organization maintains a secondary practice location in Odin and lists Kelly Hall, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Serenitypass Holistic Health PLLC's NPI number?
The NPI number for Serenitypass Holistic Health PLLC is 1639935281. It was assigned to this organization in the NPPES registry on February 22, 2024.
Where is Serenitypass Holistic Health PLLC located?
Serenitypass Holistic Health PLLC is located at 605 N Mine St, Sandoval, IL 62882. The listed phone number is (618) 552-3034.
What is Serenitypass Holistic Health PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Serenitypass Holistic Health PLLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Serenitypass Holistic Health Pllc · NPI 1639935281
Family organization in Sandoval, Illinois. Organization record, active in the CMS NPPES registry since February 22, 2024.
## Identity
- **NPI:** 1639935281 (Entity type: Organization)
- **Enumerated:** February 22, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kelly Hall, OWNER
## Practice location
- **Address:** 605 N MINE ST, Sandoval, IL 62882-1103
- **Phone:** (618) 552-3034
## Record status
- **NPPES last updated:** December 16, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1639935281) · Data from the CMS NPPES public registry.