Kendra L Brown, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17360 Issued in TN

Practice address

2612 Hough Rd
Florence, AL 35630-1747

Phone

(256) 275-3724

Fax

(877) 441-0602

NPI assigned

Feb 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Walk-in Clinic, LLCGroup PAC ID 5890099295, 4 clinicians

Encompass Healthcare LLCGroup PAC ID 8224477765, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbrown@wwcl-al.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Wellness Walk-in Clinic, LLC

  • Family Nurse Practitioner
  • Florence, AL
  • NPI 1235501891
  Medicare reassignment Care Compare group NPD
• Encompass Healthcare LLC

  • Family Nurse Practitioner
  • Ethridge, TN
  • NPI 1790548824
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1013256064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 HOUGH RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301747",
            "telephone_number": "256-275-3724",
            "fax_number": "877-441-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 HOUGH RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301747",
            "telephone_number": "256-275-3724",
            "fax_number": "877-441-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 Highway 43 N",
            "address_purpose": "LOCATION",
            "city": "Ethridge",
            "state": "TN",
            "postal_code": "384562046",
            "country_code": "US",
            "telephone_number": "931-321-2005",
            "fax_number": "877-437-7793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KENDRA",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17360",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "153602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brothers, LPC
• Keli Vazquez Brothers, LPC
• David Thomas Brown, M.D.
• James Ronald Brown, CRNA
• Joshua Brown, PHARMD
• Nolan Tell Brown, ATC, LAT
• Presleigh Breann Brown, RN, PMHNP
• Steven Matthew Brown
• Teresa Browne-Carter, PA
• Bruce D. Evans

• Family Nurse Practitioner in Florence, AL
• Providers in Florence, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.