HEALTHY LIFE CLINIC, INC.
NPI 1437389731
Nurse Practitioner - Family in Knoxville, TN

Active since July 21, 2009
110 PERIMETER PARK RD., SUITE G, KNOXVILLE, TN 37922(865) 247-6340(865) 951-2617 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthy Life Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY LIFE CLINIC, INC. (NPI 1437389731) is a healthcare organization registered as a family in Knoxville, Tennessee and active in the NPI registry since July 2009. The organization lists Gary R. Bickford, Owner, as its authorized official.

NPPES Registry Identity

NPI1437389731
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTHY LIFE CLINIC, INC.
Location Address110 PERIMETER PARK RD., SUITE GKnoxville, TN 37922-2200
Mailing Address110 Perimeter Park Rd., Suite GKnoxville, TN 37922-2200 · (865) 247-6340 · Fax (865) 951-2617
Fax(865) 951-2617
Organization SubpartNo
Authorized OfficialGary R. BickfordOwner · (865) 247-6340
Enumeration DateJuly 21, 2009
Last NPPES UpdateJanuary 27, 2012
NPI 1437389731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN0000012264
110 PERIMETER PARK RD., Knoxville, TN 37922

Other Identifiers 1

Medicaid1517282TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Life Clinic, Inc.'s NPI number?

The NPI number for Healthy Life Clinic, Inc. is 1437389731. It was assigned to this organization in the NPPES registry on July 21, 2009.

Where is Healthy Life Clinic, Inc. located?

Healthy Life Clinic, Inc. is located at 110 Perimeter Park Rd. Suite G, Knoxville, TN 37922. The listed phone number is (865) 247-6340.

What is Healthy Life Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Healthy Life Clinic, Inc. was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.