Individual provider Active NPI

Stacy Ann Brinkley, FNP

  • Family Nurse Practitioner
  • Courtland, VA
National Provider Identifier
1235449497
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169005 Issued in VA
Practice address
22708 Main St
Courtland, VA 23837-1127
Phone
(757) 653-2007
Fax
(757) 935-5551
NPI assigned
Oct 20, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024169005 VA Primary

Addresses

Primary practice location

22708 Main St
Courtland, VA 23837-1127

Mailing address

436 Clairmont CT Ste 105
Colonial Heights, VA 23834-1765
Phone (757) 562-2158

Other practice location 1

102 Fairview Dr
Suite B
Franklin, VA 23851-1226
Phone (757) 562-2158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000449 VA Practitioner - Nurse Practitioner 3577728278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

101 S College Dr
Franklin, VA 23851-2425
Phone (757) 568-7518

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James River Cardiology, LLC CurrentSince Jun 4, 2018 Accepting new patients
Paladin Dermatology LLC Past Accepting new patients

Locations

7300 Ashlake Pkwy
Ste 100
Chesterfield, VA 23832
Phone (804) 256-8282

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834
Phone (804) 823-2375

701 N Main St
Emporia, VA 23847
Phone (434) 336-3199

101 S College Dr
Franklin, VA 23851
Phone (757) 517-0465

Interoperability endpoints

  • Direct secure messaging: sabrinkl@yourcarecommunity.org
  • Direct secure messaging: stacy.brinkley.1@31267.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235449497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CLAIRMONT CT STE 105",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341765",
            "telephone_number": "757-562-2158",
            "fax_number": "757-562-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22708 MAIN ST",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238371127",
            "telephone_number": "757-653-2007",
            "fax_number": "757-935-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Fairview Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "VA",
            "postal_code": "238511226",
            "country_code": "US",
            "telephone_number": "757-562-2158",
            "fax_number": "757-562-2134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Courtland, VA

Sources for this page

Verify at the official NPI Registry.