Ellen Kernodle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3295 Issued in TN

Practice address

4920 Port Royal Rd
Ste C
Spring Hill, TN 37174-2856

Phone

(931) 451-7230

Fax

(931) 451-7058

NPI assigned

Jun 1, 2020

Sex

Female

Sole proprietor

No

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.

• Balanced Life Chiropractic LLC

  • Primary Care Clinic/Center
  • Spring Hill, TN
  • NPI 1821691908

  TN

  Medicare reassignment Authorized official

Medicare fee-for-service enrollment

Enrolled in TN

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2021.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1902420482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 BURNT KNOB RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292634",
            "telephone_number": "812-593-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 PORT ROYAL RD",
            "address_2": "STE C",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742856",
            "telephone_number": "931-451-7230",
            "fax_number": "931-451-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNODLE",
        "first_name": "ELLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Katrina Kamin
• Scott Allen Keeler, D.PH.
• Sarah Keller
• Emma Katherine Kelley
• Madison Kelley, OT
• Brent Ketring, LPC-MHSP
• Kyla Mychelle Key
• Beshoy W. Khalil, DPM
• Jennifer A Kilgore, AU D
• Kyle Minki Kim, DPT

• All providers in Spring Hill, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.