Individual provider Active NPI

Kendra Dawn Methvin, NP-C

  • Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1487916524
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16639 Issued in TN
Practice address
326 N Locust Ave
Lawrenceburg, TN 38464-3516
Phone
(931) 762-9797
Fax
(931) 762-9798
NPI assigned
Jun 14, 2012
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 141643 TN
Nurse Practitioner 363L00000X 16639 TN Primary

Addresses

Primary practice location

326 N Locust Ave
Lawrenceburg, TN 38464-3516

Mailing address

326 N Locust Ave
Lawrenceburg, TN 38464-3516
Phone (931) 762-9797

Other practice location 1

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797

Other practice location 2

202 Joe Ave
Hohenwald, TN 38462-2002
Phone (931) 796-9797

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
I20120801000158 TN Practitioner - Nurse Practitioner 6800934381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
141643TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Medical, LLC CurrentSince Jul 5, 2012 Accepting new patients
Tennessee CVS Pharmacy, L.L.C. Past Accepting new patients

Locations

202 Joe Ave
Hohenwald, TN 38462
Phone (931) 796-9797

326 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-0800

326 N Locust Ave
#B
Lawrenceburg, TN 38464
Phone (931) 762-9797

912 W College St
Pulaski, TN 38478
Phone (931) 424-9797

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
One Stop Medical, LLCPulaski, TN, CCN 448930 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 16, 2009
One Stop Medical, LLCLawrenceburg, TN, CCN 448931 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 16, 2009
One Stop Medical LLCHohenwald, TN, CCN 883824 Rural health clinic 5% Or Greater Direct Ownership Interest (24.75%) Dec 16, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1487916524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 W College St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384783630",
            "country_code": "US",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Joe Ave",
            "address_purpose": "LOCATION",
            "city": "Hohenwald",
            "state": "TN",
            "postal_code": "384622002",
            "country_code": "US",
            "telephone_number": "931-796-9797",
            "fax_number": "931-295-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METHVIN",
        "first_name": "KENDRA",
        "middle_name": "DAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "141643",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.