Individual provider Active NPI

Kenzie Carpenter, AGACNP,RNFA

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1811461908
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25241 Issued in TN
Practice address
2400 Patterson St Ste 400
Nashville, TN 37203-1575
Phone
(615) 342-7440
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 55 TN
Acute Care Nurse Practitioner 363LA2100X 25241 TN
Gerontology Nurse Practitioner 363LG0600X 25241 TN
Nurse Practitioner 363L00000X 25241 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 400
Nashville, TN 37203-1575

Mailing address

2400 Patterson St Ste 400
Nashville, TN 37203-1575
Phone (615) 342-7440

Other names 1

  • Kenzie Dye Former name

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
I20190503000922 TN Practitioner - Nurse Practitioner 2365784790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Surgical Clinic, LLCGroup PAC ID 6800079963, 17 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 400
Nashville, TN 37203-1575
Phone (615) 342-6905

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25241TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Surgical Clinic, LLC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
Vanderbilt University Nurse Practitioner PastSince Mar 6, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2400 Patterson St
#212
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: kenzie.dye@hca1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1811461908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031575",
            "telephone_number": "615-342-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031575",
            "telephone_number": "615-342-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KENZIE",
        "credential": "AGACNP,RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TN",
            "license": "55",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "25241",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "25241",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENZIE",
            "last_name": "DYE",
            "credential": "AGACNP,RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.