Active NPI
Live Oak Psychiatric Associates, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Englewood, TN
National Provider Identifier
1184544017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIVE OAK PSYCHIATRIC ASSOCIATES, PLLC
- Practice address
- 610 County Rd 415
Englewood, TN 37329 - Phone
- (251) 284-2010
- NPI assigned
- Jul 20, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Harley Gibbs, PMHNP
- Title
- Owner
- Phone
- (251) 284-2010
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
610 County Rd 415
Englewood, TN 37329
Mailing address
1306 Decatur Pike # 1008
Athens, TN 37303-2418
Phone (251) 284-2010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2026.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1184544017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 DECATUR PIKE # 1008",
"city": "ATHENS",
"state": "TN",
"postal_code": "373032418",
"telephone_number": "251-284-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 COUNTY RD 415",
"city": "ENGLEWOOD",
"state": "TN",
"postal_code": "37329",
"telephone_number": "251-284-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE OAK PSYCHIATRIC ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "HARLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-284-2010",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.