Elizabeth Ellis Kenemer, APRN, PMHNP-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

18756 Issued in TN

Practice address

2125 Belcourt Ave
Nashville, TN 37212

Phone

(910) 791-9625

Fax

(910) 798-8071

NPI assigned

Oct 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333
  Medicare reassignment NPD
• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment NPD
• Gastrointestinal Associates of Cleveland, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1316981087
  NPD
• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic Pharmacy
  • Birmingham, AL
  • NPI 1568081644
  NPD
• Neuroscience and TMS Treatment Center PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1225465107
  NPD (past)
• Psychiatric Clinic of Green Hills

  • Community Health Clinic/Center
  • Nashville, TN
  • NPI 1457758112
  NPD (past)

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1568715050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BELCOURT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-379-8600",
            "fax_number": "615-269-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BELCOURT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "910-791-9625",
            "fax_number": "910-798-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEMER",
        "first_name": "ELIZABETH",
        "middle_name": "ELLIS",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005894",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "18756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Kendree
• Mackenzie Alexandra Kendrick, APRN,NP-C
• Natalie Afton Kendrick, AGACNP-BC
• Will D Kendrick, M.D.
• Kenean Healthcare LLC
• Dwight Kenerson, CRNA
• Mary H Kennady
• Taylor Briana Kennard
• Alice Kennedy, MD
• Allison Kennedy

• Psychiatric/Mental Health Nurse Practitioner in Nashville, TN
• Providers in Nashville, 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 Oct 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.