Active NPI
William Davis Kenner, M.D.
- Psychiatry Physician
- Nashville, TN
National Provider Identifier
1053528018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD006721
- Practice address
- 113 30TH Ave N
Nashville, TN 37203-1325 - Phone
- (615) 292-8555
- Fax
- (615) 292-4716
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD006721 | TN | Primary |
Addresses
Primary practice location
113 30TH Ave N
Nashville, TN 37203-1325
Mailing address
113 30TH Ave N
Nashville, TN 37203-1325
Phone (615) 292-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD006721 | TN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053528018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 30TH AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031325",
"telephone_number": "615-292-8555",
"fax_number": "615-292-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 30TH AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031325",
"telephone_number": "615-292-8555",
"fax_number": "615-292-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNER",
"first_name": "WILLIAM",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD006721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.