Courtney Kennebrew

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1625 Issued in AL

Practice address

234 Prairie St N
Union Springs, AL 36089-1617

Phone

(334) 247-7727

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Exquisite Coiffures Hair Boutique LLC

  • Customized Equipment (DME)
  • Union Springs, AL
  • NPI 1972263523
  NPD Authorized official

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1386316339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891617",
            "telephone_number": "334-247-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891617",
            "telephone_number": "334-247-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEBREW",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.officially.com",
            "affiliation": "N",
            "endpointDescription": "Electronic health record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "234 Prairie St N",
            "city": "Union Springs",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360891617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• HNH Immunizations Inc
• HNH Immunizations Inc
• Carol McMillan Holder, CRNP
• Hope for Families and Community Services, Inc.
• Hope for Families and Community Services, Inc.
• Katryna R King-Adams
• Orville Robert Kruger, D.M.D.
• Letitia M. Williams DDS LLC
• Audrey Lewis, CRNP
• Cierra Labree Mahone, LMSW

• Customized Equipment (DME) in Union Springs, AL
• Providers in Union Springs, AL by specialty
• Customized Equipment (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.