Individual provider Active NPI

Lisa Rowland Kenny, F.N.P.

  • Family Nurse Practitioner
  • Lakeland, TN
National Provider Identifier
1508089731
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6708 Issued in TN
Practice address
9025 US Highway 64
Lakeland, TN 38002-7981
Phone
(901) 387-2998
NPI assigned
Apr 10, 2007
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6708 TN Primary

Addresses

Primary practice location

9025 US Highway 64
Lakeland, TN 38002-7981

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

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
I20230801000879 TN Practitioner - Nurse Practitioner 2466504956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Mar 4, 2013 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Aug 14, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Curana Health of Tennessee LLC Nurse Practitioner CurrentSince Oct 20, 2023 Accepting new patients
Vascular Surgical Associates, PC Past Accepting new patients

Locations

204 Allen Memorial Dr
Ste 201
Bremen, GA 30110
Phone (770) 537-6500

204 Allen Memorial Dr
Ste 202
Bremen, GA 30110
Phone (770) 456-3380

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

310 Kennestone Hospital Blvd
Marietta, GA 30060
Phone (770) 793-7899

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

11635 Highway 70
Arlington, TN 38002
Phone (901) 290-9270

9025 US Highway 64
Lakeland, TN 38002
Phone (901) 383-2265

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: lisa.kenny@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 7

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1508089731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 US HIGHWAY 64",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380027981",
            "telephone_number": "901-387-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "LISA",
        "middle_name": "ROWLAND",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, TN

Sources for this page

Verify at the official NPI Registry.