Active NPI
Living Healthy Wellness Center
- Clinic/Center
- Madison, TN
National Provider Identifier
1861963050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LIVING HEALTHY WELLNESS CENTER
- Practice address
- 414 W Old Hickory Blvd
Madison, TN 37115-3653 - Phone
- (615) 456-2016
- Fax
- (615) 454-2507
- NPI assigned
- Dec 16, 2018
- 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
- Mrs. Joy Renee Grimes, ACNP-BC
- Title
- Nurse Practitioner
- Phone
- (615) 454-2016
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
414 W Old Hickory Blvd
Madison, TN 37115-3653
Mailing address
414 W Old Hickory Blvd
Madison, TN 37115-3653
Phone (615) 454-2016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q044948 | Medicaid | TN |
Other names 1
- Joy Grimes ACNP-BC
National Provider Directory
National Provider DirectoryLocations
913 Conference Dr
Ste 103
Goodlettsville, TN 37072
Phone (615) 473-8171
414 W Old Hickory Blvd
Madison, TN 37115
Phone (615) 456-2016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Goodlettsville, TN
- NPI 1578858924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681257600000",
"number": "1861963050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 W OLD HICKORY BLVD",
"city": "MADISON",
"state": "TN",
"postal_code": "371153653",
"telephone_number": "615-454-2016",
"fax_number": "615-454-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W OLD HICKORY BLVD",
"city": "MADISON",
"state": "TN",
"postal_code": "371153653",
"telephone_number": "615-456-2016",
"fax_number": "615-454-2507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING HEALTHY WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "GRIMES",
"authorized_official_first_name": "JOY",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "615-454-2016",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ACNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q044948",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Joy Grimes ACNP-BC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Joy Grimes ACNP-BC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.