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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210601000397 | TN | Practitioner - Nurse Practitioner | 4880970763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007314 | KY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourishing Life Holistic Healthcare, LLC | Psychiatric/Mental Health | Current |
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
- margarita.barlow@330492103491588.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3007314 | Other | KY | LICENSURE |
| 125356 | Other | TN | RN |
| 13728 | Other | TN | APN |
NPI Registry JSON
{
"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
- Amayah Lechelle Barefield
- Carleona Barker
- Madison Barker
- Victoria M Barkett
- Maria Dianne Barksdale
- Sheyenne Barnell
- Alyssa Taylor Barnes
- April Barnes
- Leann Stephanie Barnett
- Katrina Barnhill
All providers in Clarksville, TN · Psychiatric/Mental Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.