Purple Flower Community Health and Wellness Foundation
Organization Active NPI Primary Care Nurse Practitioner · Arlington, TN
NPI 1396476321 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1396476321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- Legal business name
- PURPLE FLOWER COMMUNITY HEALTH AND WELLNESS FOUNDATION
- Practice address
- 6220 Greenlee St Ste 6
Arlington, TN 38002-8447 - Phone
- (901) 387-6858
- Fax
- (901) 317-6432
- NPI assigned
- Jun 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rebecca Campbell, FNP
- Title
- FNP/Founder
- Phone
- (901) 387-6858
Practitioners 2
-
Rebecca Campbell, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221020001813 | TN | Part B Supplier - Clinic/Group Practice | 8921474693 |
Receives reassigned benefits from 1 practitioner Practice locations: Arlington, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Primary Care Nurse Practitioner |
363LP2300X | Yes |
Addresses
Primary practice location
6220 Greenlee St Ste 6
Arlington, TN 38002-8447
Mailing address
6220 Greenlee St Ste 6
Arlington, TN 38002-8447
Phone (901) 387-6858
Other names
- Purple Flower Health
Other providers in Arlington, TN
- Amanda N Price
- Kurt A Price
- Primary Eyecare, PLC
- Barry Pugh Jr.
- Erika Pugh
- Purple Flower Health LLC
- Elisha Puryear
- Susan Shutt Rasbach
- Redmed, LLC
- Marshal Reynolds Richardson
All providers in Arlington, TN · Primary Care 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 Jun 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.