Active NPI
Brenika Pinkston, CNA ., HHA
- Nurse's Aide
- Fort Wayne, IN
National Provider Identifier
1336503549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA1101623
- Practice address
- 445 E Suttenfield St
Fort Wayne, IN 46803-2491 - Phone
- (317) 993-0476
- NPI assigned
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA1200270 | IN | |
| Nurse's Aide | 376K00000X | CNA1101623 | IN | Primary |
Addresses
Primary practice location
445 E Suttenfield St
Fort Wayne, IN 46803-2491
Mailing address
445 E Suttenfield St
Fort Wayne, IN 46803-2491
Phone (317) 993-0476
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 |
|---|---|---|---|
| HHA1200270 | IN | MD | Home Health Aide |
| CNA1101623 | IN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1336503549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E SUTTENFIELD ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468032491",
"telephone_number": "317-993-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E SUTTENFIELD ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468032491",
"telephone_number": "317-993-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKSTON",
"first_name": "BRENIKA",
"credential": "CNA ., HHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "IN",
"license": "HHA1200270",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IN",
"license": "CNA1101623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.