Organization Active NPI

Flourishing Life Holistic Healthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1821662701
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FLOURISHING LIFE HOLISTIC HEALTHCARE, LLC
Practice address
1820 Memorial Dr Ste 101
Clarksville, TN 37043-4693
Phone
(931) 553-4161
Fax
(931) 553-4176
NPI assigned
May 16, 2021
Last updated
May 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margarita Barlow, ANP-BC, PMHNP-BCNPI 1154544724
Title
Ceo/Owner
Phone
(931) 624-6828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1820 Memorial Dr Ste 101
Clarksville, TN 37043-4693

Mailing address

1104 Stillwood Dr
Clarksville, TN 37042-8653
Phone (931) 624-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601000354 TN Part B Supplier - Clinic/Group Practice 6406255108 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Locations

1820 Memorial Dr
Ste 101
Clarksville, TN 37043
Phone (931) 551-6731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621123200000",
    "number": "1821662701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 STILLWOOD DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428653",
            "telephone_number": "931-624-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR STE 101",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "931-553-4161",
            "fax_number": "931-553-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING LIFE HOLISTIC HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "931-624-6828",
        "authorized_official_credential": "ANP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.