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
Mailing address824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324

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