Active NPI
Stacy Ann Brinkley, FNP
- Family Nurse Practitioner
- Courtland, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024169005
- 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, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Powerback Rehabilitation LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James River Cardiology, LLC | Current | 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
- sabrinkl@yourcarecommunity.org
- 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.
-
dba Colonial Heart
- Cardiovascular Disease Physician
- Colonial Heights, VA
- NPI 1407157647
-
- Nurse Practitioner
- Petersburg, VA
- NPI 1225417082
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours Southern Virginia Medical Center
- General Acute Care Hospital
- Emporia, VA
- NPI 1104461276
-
dba Bon Secours - Southampton Medical Center
- General Acute Care Hospital
- Franklin, VA
- NPI 1851936983
-
dba Adoration Home Health
- Home Health Agency
- Franklin, VA
- NPI 1093794612
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
- Ark Transportation (Loving Family Services LLC)
- Mary Babb, FNP
- Believe in Me Mobile Phlebotomy Services, LLC
- Tenecia Renee Brown-Shearin
- Children's Therapy Concepts LLC
- Commonwealth of Virginia State Board of Health (Southampton County Health Department)
- Courtland Hearing AIDS and Balance, LLC
- Courtland Operating LLC (Courtland Rehabilitation and Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.