Kennedy Ellen Eidenire, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

38446 Issued in TN

Practice address

365 S Hartmann Dr Ste 104
Lebanon, TN 37087-4788

Phone

(615) 470-8124

Fax

(615) 544-2528

NPI assigned

Mar 22, 2025

Last updated

Nov 21, 2025By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Firefly Health, PLLCGroup PAC ID 3971957572, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Firefly Health PLLC

  • Family Medicine Physician
  • Portland, TN
  • NPI 1528749827
  Medicare reassignment Care Compare group NPD
• Restoration Wellness and Medspa

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, TN
  • NPI 1568116747
  NPD

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

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1477354793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S HARTMANN DR STE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874788",
            "telephone_number": "615-470-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S HARTMANN DR STE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874788",
            "telephone_number": "615-470-8124",
            "fax_number": "615-544-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDENIRE",
        "first_name": "KENNEDY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "38446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lynn Eakes
• Earl Dwayne Lett, PC
• Mary Rachel East, SLP-CCC
• Ec Lebanon Operations, LLC (Elmcroft of Lebanon)
• Derrick Edwards, LPC-MHSP
• Robert Chaffee Elam
• Elevate Medical Center, PLLC
• Elite Ambulance LLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC

• Psychiatric/Mental Health Nurse Practitioner in Lebanon, TN
• Providers in Lebanon, 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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.