Individual provider Active NPI

Tammy Marie Brunk, CNM

  • Advanced Practice Midwife
  • Greeley, CO
National Provider Identifier
1235162686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
114327 Issued in CO
Practice address
8223 W 20TH St
Greeley, CO 80634-3036
Phone
(970) 353-6000
Fax
(970) 353-6001
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 114327 CO Primary

Addresses

Primary practice location

8223 W 20TH St
Greeley, CO 80634-3036

Mailing address

8223 W 20TH St
Greeley, CO 80634-3036
Phone (970) 353-6000

Other identifiers 1

IdentifierTypeStateIssuer
43902723MedicaidCO

Other names 1

  • Tammy Marie Winters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000525 CA Practitioner - Certified Nurse Midwife (CNM) 9032115696 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
114327COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Oct 31, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 31, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 31, 2016 Accepting new patients
University of California San Francisco CurrentSince Oct 31, 2016 Accepting new patients
University of California San Francisco Current Accepting new patients
Womens Wellness Center of the Rockies LLP Advanced Practice Midwife Past Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: tbrunk83547@direct-ucsfmedicalcenter.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235162686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343036",
            "telephone_number": "970-353-6000",
            "fax_number": "970-353-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343036",
            "telephone_number": "970-353-6000",
            "fax_number": "970-353-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "114327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43902723",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "WINTERS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.