Tamika Lashawn Brinson, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5020749 Issued in NC

Practice address

Pineville Rehabilitation & Living Center
1010 Lakeview Dr
Pineville, NC 28134

Phone

(704) 889-2273

NPI assigned

Jun 10, 2008

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complexcare Medical Group Mid-Atlantic H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1275427429

  NC

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC

  Medicare reassignment NPD
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1285894766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 AMBER LEIGH WAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692341",
            "telephone_number": "585-300-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINEVILLE REHABILITATION & LIVING CENTER",
            "address_2": "1010 LAKEVIEW DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "28134",
            "telephone_number": "704-889-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 Amber Leigh Way Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282692341",
            "country_code": "US",
            "telephone_number": "585-300-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "TAMIKA",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5020749",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "587851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice S Blocker, PTA
• Kendall Bodah
• Lauren Alexandra Bolanos, BCBA
• Brian Wayne Bowman, PA-C
• Amy Bradley
• Angela Marie Briseno, LCSW
• Scott Buie
• Amy N Bullock, PT, DPT
• Amy W Bumgarner, OTR/L
• Scott Arthur Burbank, MD

• Gerontology Nurse Practitioner in Pineville, NC
• Providers in Pineville, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.