Organization Active NPI

Healthy Living PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1417626581
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Oct 15, 2021

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
NPIOtherCA1689235525

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.