Active NPI
Healthy Living PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Cordova, TN
National Provider Identifier
1417626581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEALTHY LIVING PLLC
- Practice address
- 1138 N Germantown Pkwy Ste 101-491
Cordova, TN 38016-5872 - Phone
- (720) 741-6647
- NPI assigned
- Sep 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thanh Nguyen
- Title
- Ceo
- Phone
- (720) 741-6647
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1138 N Germantown Pkwy Ste 101-491
Cordova, TN 38016-5872
Mailing address
1138 N Germantown Pkwy Ste 101-491
Cordova, TN 38016-5872
Other practice location 1
2590 Welton Street
Suite 200
Denver, CO 80205
Phone (720) 741-6647
Other practice location 2
15 W 38th St # 834
New York, NY 10018-5501
Phone (720) 741-6647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI | Other | CA | 1689235525 |
National Provider Directory
National Provider DirectoryLocations
15 W 38th St
#834
New York, NY 10018
Phone (720) 741-6647
15 W 38th St
Ste 834
New York, NY 10018
Phone (720) 741-6647
1138 N Germantown Pkwy
Ste 101491
Cordova, TN 38016
Phone (720) 741-6647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1417626581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 N GERMANTOWN PKWY STE 101-491",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 N GERMANTOWN PKWY STE 101-491",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165872",
"telephone_number": "720-741-6647"
}
],
"practiceLocations": [
{
"address_1": "2590 Welton Street",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80205",
"country_code": "US",
"telephone_number": "720-741-6647",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 W 38th St # 834",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100185501",
"country_code": "US",
"telephone_number": "720-741-6647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHY LIVING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "THANH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-741-6647"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1689235525",
"identifier": "NPI",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.