Live Well Medical Clinic & Spa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIVE WELL MEDICAL CLINIC & SPA

Practice address

117 W Commercial Ave
Monterey, TN 38574-1107

Phone

(931) 839-6642

Fax

(931) 839-6643

NPI assigned

Sep 22, 2014

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Wilson, FNP-BCNPI 1184050262

Title

Owner

Phone

(931) 839-6642

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Heather H Wilson, GNP

  • Nurse Practitioner
  • Monterey, TN
  • NPI 1184050262
  Medicare reassignment Authorized official
• Brenda Lee McIntosh, FNP-C

  • Family Nurse Practitioner
  • Monterey, TN
  • NPI 1477863231
  Medicare reassignment NPD
• Alyssa Smith, FNP-C

  • Family Nurse Practitioner
  • Monterey, TN
  • NPI 1912841479
  NPD

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1902208903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W COMMERCIAL AVE",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741107",
            "telephone_number": "931-839-6642",
            "fax_number": "931-839-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W COMMERCIAL AVE",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741107",
            "telephone_number": "931-839-6642",
            "fax_number": "931-839-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Broad St",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "TN",
            "postal_code": "385445117",
            "country_code": "US",
            "telephone_number": "931-839-6642",
            "fax_number": "931-839-6643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE WELL MEDICAL CLINIC & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-839-6642",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007973",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• From the Ashes Therapeutic Services
• Sandra L Garcia, LCSW
• Robert Crombie Hall, M.D.
• HQM of Monterey, LLC (Standing Stone Care & Rehabilitation Center)
• Amanda L Hughes, FNP-C
• LP Monterey LLC (Standing Stone Care & Rehabilitation Center)
• Brenda Lee McIntosh, FNP-C
• Michael West (Super Discount Drugs)
• Monterey Dental Center
• Monterey Drugs Inc (Monterey Drugs)

• Family Medicine Physician in Monterey, TN
• Providers in Monterey, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.