Bryasha Kennebrew

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

23252679 Issued in GA

Practice address

1350 15TH Ave Ste 103
Columbus, GA 31901-2308

Phone

(762) 720-5029

NPI assigned

Apr 18, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blue Skies Healthcare LLC

  • Home Health Agency
  • Columbus, GA
  • NPI 1972330538
  NPD Authorized official

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1912752452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 15TH AVE STE 135015TH",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012308",
            "telephone_number": "762-720-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 15TH AVE STE 103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012308",
            "telephone_number": "762-720-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEBREW",
        "first_name": "BRYASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "23252679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinger F Kemp, OT
• Jennifer O Kempisty, N.P
• Elizabeth Kempson, FNP
• Alicia Kendrick
• Chyla Kendrick
• Alexandria L Kennedy
• Debra Kennedy, NP
• Kelly Amanda Kennedy, PHARMD.
• Shannon Nicole Kennedy
• Travis J Kennedy, PHARM.D.

• Home Health Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.