Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenisha Brown

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1447097647

Kenisha Brown is a Nurse Practitioner in Avondale, Arizona. Qualified in 2023, 3 years ago. Practices with Community Bridges Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
Specialties on file
3

Practice location Address checks out

824 N 99th Ave
Avondale, AZ 85323-5324
Phone: (623) 907-6520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 313512 (AZ)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence RN206881 (AZ)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence RN206881 (AZ)

Record details

NPI number1447097647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Bridges Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount