| Kennedi Louth, APRN | |
| 200 Creekside Dr, Dickson, TN 37055-2176 | |
| (615) 441-6140 | |
| Not Available | 
| Full Name | Kennedi Louth | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 200 Creekside Dr, Dickson, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427703594 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 31160 (Tennessee) | Primary | 
| Entity Name | Advanced Diagnostic Imaging Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 | 
| Entity Name | Privia Medical Group Tennessee Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kennedi Louth, APRN 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Kennedi Louth, APRN 200 Creekside Dr, Dickson, TN 37055-2176 Ph: (615) 441-6140 | 
| Megan Ward, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Natchez Park Dr Ste 103, Dickson, TN 37055 Phone: 615-740-7025 | |
| Heather Nicole Mangrum, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Crestview Park Dr Ste 2, Dickson, TN 37055 Phone: 615-740-5233 Fax: 615-740-5226 | |
| Sydney Taylor Ratto,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 Highway 46 S, Dickson, TN 37055 Phone: 615-441-4400 Fax: 615-441-4443 | |
| Ms. Jennifer Catherine Gorzny, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 758 Highway 46 S, Dickson, TN 37055 Phone: 615-446-2708 Fax: 615-441-5121 | |
| Ms. Rose Dawn Widener, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7105 Ramsey Way, Dickson, TN 37055 Phone: 615-446-4999 Fax: 615-326-0099 | |
| Jessica Dawn Lane, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Creekside Dr, Dickson, TN 37055 Phone: 615-441-6140 | |
| Mrs. Kristina D Thornberry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Highway 70 E Ste H, Dickson, TN 37055 Phone: 615-446-4400 |