Individual provider Active NPI

Elizabeth Lee Brink, CNM

  • Advanced Practice Midwife
  • Colorado Springs, CO
National Provider Identifier
1356781934
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0993812-CNM Issued in CO
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN60502401WAMDInpatient Obstetric Registered Nurse
APN.0993812-CNMCOMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Beginnings Birth Center, LLC Advanced Practice Midwife Past Accepting new patients
Beginnings Birth Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.