Active NPI
Elizabeth Lee Brink, CNM
- Advanced Practice Midwife
- Colorado Springs, CO
National Provider Identifier
1356781934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APN.0993812-CNM
- Practice address
- 5028 Galloping Goose Way
Colorado Springs, CO 80924 - Phone
- (719) 367-9405
- Fax
- (719) 434-9777
- NPI assigned
- Jun 27, 2013
- Last updated
- Jun 22, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | RN60502401 | WA | |
| Midwife | 176B00000X | APN.0993812-CNM | CO | |
| Advanced Practice Midwife | 367A00000X | AP60696895 | WA | |
| Advanced Practice Midwife | 367A00000X | APN.0993812-CNM | CO | Primary |
Addresses
Primary practice location
5028 Galloping Goose Way
Colorado Springs, CO 80924
Mailing address
5028 Galloping Goose Way
Colorado Springs, CO 80924-2915
Phone (719) 367-9405
Other practice location 1
1105 Division Ave
Suite 101
Tacoma, WA 98403-1646
Phone (253) 403-9860
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60502401 | WA | MD | Inpatient Obstetric Registered Nurse |
| APN.0993812-CNM | CO | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beginnings Birth Center, LLC | Advanced Practice Midwife | Past | Accepting new patients |
| Beginnings Birth Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- beginningsbirthcenter.elizabethbrink@157548.advancedmd-direct.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.
-
- Birthing Clinic/Center
- Colorado Springs, CO
- NPI 1134611791
-
- Advanced Practice Midwife
- Colorado Springs, CO
- NPI 1275025215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1356781934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5028 GALLOPING GOOSE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809242915",
"telephone_number": "719-367-9405",
"fax_number": "719-434-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 GALLOPING GOOSE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80924",
"telephone_number": "719-367-9405",
"fax_number": "719-434-9777"
}
],
"practiceLocations": [
{
"address_1": "1105 Division Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984031646",
"country_code": "US",
"telephone_number": "253-403-9860",
"fax_number": "253-403-9862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINK",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "WA",
"license": "RN60502401",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CO",
"license": "APN.0993812-CNM",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP60696895",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "APN.0993812-CNM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.