| Restoring Health Clinic Llc | |
|
2237 Lowes Dr W Ste A Clarksville TN 37040-6891 | |
| (931) 272-2446 | |
| (855) 530-6144 |
| Full Name | Restoring Health Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2237 Lowes Dr W Ste A, Clarksville, Tennessee |
| Authorized Official Name and Position | Belinda A Caver-ballard (OWNER) |
| Authorized Official Contact | 9312722446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Health Clinic Llc 2237 Lowes Dr W Ste A Clarksville TN 37040-6891 Ph: (931) 272-2446 | Restoring Health Clinic Llc 2237 Lowes Dr W Ste A Clarksville TN 37040-6891 Ph: (931) 272-2446 |
| NPI Number | 1942766225 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 7416297452 |
|---|---|
| Medicare Enrollment ID | O20190328003081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942766225 | NPI | - | NPPES |
| Q038084 | Medicaid | TN | |
| Q049160 | Medicaid | TN |
| Provider Name | Samantha D Sixieme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134427644 PECOS PAC ID: 4082883186 Enrollment ID: I20110805000657 |
| Provider Name | Belinda Ann Caver-ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457867798 PECOS PAC ID: 6002165073 Enrollment ID: I20180823003604 |
| Provider Name | Jennifer Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336669472 PECOS PAC ID: 1456615848 Enrollment ID: I20210601002054 |
| Provider Name | Nancy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922245141 PECOS PAC ID: 7810380474 Enrollment ID: I20220203002454 |
| Provider Name | Laura Jean Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134944226 PECOS PAC ID: 4183140767 Enrollment ID: I20250428003204 |
| Provider Name | Shondell V Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366767550 PECOS PAC ID: 1355510926 Enrollment ID: I20250529000404 |
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