Daniel Kennedy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22390 Issued in TN

Practice address

304 Northcreek Blvd
Suite 120
Goodlettsville, TN 37072-2096

Phone

(615) 859-9902

Fax

(615) 859-9906

NPI assigned

Feb 28, 2017

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.kennedy@hca1.eclinicaldirectplus.com

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.

• Renewed Hope Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
  • NPI 1447710132
  NPD Authorized official

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1316487044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NORTHCREEK BLVD",
            "address_2": "SUITE 120",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722096",
            "telephone_number": "615-859-9902",
            "fax_number": "615-859-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NORTHCREEK BLVD",
            "address_2": "SUITE 120",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722096",
            "telephone_number": "615-859-9902",
            "fax_number": "615-859-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "22390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Keen, PA-C
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• Marie C Kelly, O.D..
• Tiffany Kelly, BCBA, LBA
• Michael L Key, DC
• KGC Operator, Inc.
• Younghee Kim, FNP
• Nan Kimbro, CRNA
• James Centre King III, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.