Tiffany Leatrice Kennerly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

236782 Issued in TN

Practice address

1301 Riverfront Pkwy Ste 209
Chattanooga, TN 37402-3312

Phone

(423) 634-3124

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1013799766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FROST ST",
            "city": "DECHERD",
            "state": "TN",
            "postal_code": "373242410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERFRONT PKWY STE 209",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374023312",
            "telephone_number": "423-634-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNERLY",
        "first_name": "TIFFANY",
        "middle_name": "LEATRICE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "236782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dewayne Kennedy, MD
• Jodie Faye Kennedy, PHARMD
• Kelly Leigh Kennedy, ACNP-C, RN
• Linda Kennedy
• Lizbeth Kennedy, MD
• Felton Reed Kent, D.C.
• Joseph Kent
• Margaret Lea Thompson Kent, DPT
• Suzanne Kent
• Kathryn Kenway, PMHNP

• Registered Nurse in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.