Active NPI
Cole Jacob Tinklenberg, INDEPENDENT DUTY HM
- Independent Duty Corpsman
- Quantico, VA
National Provider Identifier
1053039925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- License
- 1053039925
- Practice address
- 2189 Elrod Ave
Quantico, VA 22134-5113 - Phone
- (616) 284-7607
- NPI assigned
- Aug 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | 1053039925 | CA | Primary |
Addresses
Primary practice location
2189 Elrod Ave
Quantico, VA 22134-5113
Mailing address
2189 Elrod Ave BLDG 5003
Quantico, VA 22134-5113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1472480762 | Other | VA | INDEPENDENT DUTY CORPSMAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cole.j.tinklenberg.mil@health.mil | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053039925 | CA | MD | Independent Duty Corpsman |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1053039925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2189 ELROD AVE BLDG 5003",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2189 ELROD AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345113",
"telephone_number": "616-284-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINKLENBERG",
"first_name": "COLE",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"credential": "INDEPENDENT DUTY HM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-17",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": "CA",
"license": "1053039925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT DUTY CORPSMAN",
"identifier": "1472480762",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cole.j.tinklenberg.mil@health.mil",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2189 Elrod Ave",
"city": "Quantico",
"state": "VA",
"country_code": "US",
"postal_code": "221345113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quantico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.