Individual provider Active NPI

Amy Kenner

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1134938533
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
37961 Issued in TN
Practice address
213 N Frierson St
Columbia, TN 38401-2719
Phone
(931) 374-2596
NPI assigned
Jan 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 248165 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 37961 TN Primary

Addresses

Primary practice location

213 N Frierson St
Columbia, TN 38401-2719

Mailing address

213 N Frierson St
Columbia, TN 38401-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207002138 TN Practitioner - Nurse Practitioner 0648700591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
248165TNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Feb 1, 2025 Accepting new patients
River Region Psychiatry Associates LLC Past Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1001 N James M Campbell Blvd
Columbia, TN 38401
Phone (931) 777-6000

109 Holiday Ct
Ste D10
Franklin, TN 37067
Phone (615) 339-4642

103 Forrest Crossing Blvd
Ste 102
Franklin, TN 37064
Phone (615) 538-5736

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2401 Parman Pl
Nashville, TN 37203
Phone (615) 342-1400

2909 Poston Ave
Ste 100
Nashville, TN 37203
Phone (615) 422-6170

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1134938533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N FRIERSON ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N FRIERSON ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012719",
            "telephone_number": "931-374-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "248165",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "37961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.