Margarita Villarreal Barlow, DNP,ANP-BC, PMHNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Clarksville, TN

NPI 1154544724 · NPPES record last updated Jan 24, 2024

Key facts

NPI
1154544724
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
13728 (TN)
Practice address
120 Center Pointe Dr Ste 1
Clarksville, TN 37040-1632
Phone
(931) 213-5300
Fax
(931) 888-8100
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 Ctr Pointe Dr
Suite 1
Clarksville, TN 37040-1632
Phone 93121353001

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210601000397 TN Practitioner - Nurse Practitioner 4880970763 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3007314KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flourishing Life Holistic Healthcare, LLC Psychiatric/Mental Health Current
since May 16, 2021
Accepting new patients

Locations

1820 Memorial Dr
Ste 101
Clarksville, TN 37043
Phone (931) 551-6731

120 Center Pointe Dr
Ste 1
Clarksville, TN 37040
Phone (931) 213-5300

Interoperability endpoints

  • Direct secure messaging: margarita.barlow@330492103491588.direct.elationemr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 125356 TN
Adult Health Nurse Practitioner 363LA2200X 13728 TN
Adult Health Nurse Practitioner 363LA2200X 3007314 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3007314 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13728 TN Yes

Addresses

Primary practice location

120 Center Pointe Dr Ste 1
Clarksville, TN 37040-1632

Mailing address

120 Center Pointe Dr Ste 1
Clarksville, TN 37040-1632
Phone (931) 213-5300

Other identifiers

IdentifierTypeStateIssuer
3007314OtherKYLICENSURE
125356OtherTNRN
13728OtherTNAPN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2024.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1154544724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTER POINTE DR STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401632",
            "telephone_number": "931-213-5300",
            "fax_number": "931-888-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTER POINTE DR STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401632",
            "telephone_number": "931-213-5300",
            "fax_number": "931-888-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "MARGARITA",
        "middle_name": "VILLARREAL",
        "name_prefix": "Dr.",
        "credential": "DNP,ANP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "125356",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "13728",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3007314",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007314",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "13728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "3007314",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "125356",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "13728",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

All providers in Clarksville, TN · Psychiatric/Mental Health Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.