Individual provider Active NPI

Kendall Elizabeth Bush, PA-C

  • General Practice Physician
  • Hermitage, TN
National Provider Identifier
1912481870
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
PA3621 Issued in TN
Practice address
3901 Central Pike Ste 351
Hermitage, TN 37076-3422
Phone
(615) 889-8802
NPI assigned
Sep 18, 2018
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X PA3621 TN Primary

Addresses

Primary practice location

3901 Central Pike Ste 351
Hermitage, TN 37076-3422

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

920 S Hartmann Dr Ste 100
Lebanon, TN 37090-4137
Phone (615) 889-8802

Other practice location 2

100 Springhouse Ct Ste 210
Hendersonville, TN 37075-1610
Phone (615) 889-8802

Other names 1

  • Miss Kendall Elizabeth Hooper 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
I20191021001305 TN Practitioner - Physician Assistant 2264763457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

3901 Central Pike
Suite 353
Hermitage, TN 37076-3422
Phone (615) 220-8789

4230 Harding Pike
Nashville, TN 37205-4900
Phone (615) 297-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3621TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Apr 8, 2023 Accepting new patients
Advanced Specialists, PC CurrentSince Oct 1, 2026 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Apr 8, 2023 Accepting new patients
Aspire Audiology & Hearing, LP PastSince Oct 1, 2026 Accepting new patients
Dunn Clinic Past Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

100 Springhouse Ct
Ste 210
Hendersonville, TN 37075
Phone (615) 889-8802

3901 Central Pike
Ste 351
Hermitage, TN 37076
Phone (615) 889-8802

920 S Hartmann Dr
Ste 100
Lebanon, TN 37090
Phone (615) 889-8802

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: kendall.bush@ahp.eclinicaldirectplus.com

Organizations & group practices 5

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.

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1912481870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE STE 351",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763422",
            "telephone_number": "615-889-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hartmann Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904137",
            "country_code": "US",
            "telephone_number": "615-889-8802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Springhouse Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370751610",
            "country_code": "US",
            "telephone_number": "615-889-8802",
            "fax_number": "615-889-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KENDALL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "PA3621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "HOOPER",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.