Individual provider Active NPI

Danette Harrell Brinkley, NP

  • Family Nurse Practitioner
  • Flat Rock, NC
National Provider Identifier
1437466786
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004837 Issued in NC
Practice address
571 S Allen Rd
Flat Rock, NC 28731
Phone
(828) 692-6178
Fax
(828) 692-2365
NPI assigned
Sep 8, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004837 NC
Family Nurse Practitioner 363LF0000X 5004837 NC Primary

Addresses

Primary practice location

571 S Allen Rd
Flat Rock, NC 28731

Mailing address

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Other identifiers 6

IdentifierTypeStateIssuer
NC6207DOtherNCMEDICARE PTAN
132836OtherNCRN
NC6207COtherNCMEDICARE PTAN
NC6207BOtherNCMEDICARE PTAN
2594945OtherNCMEDICARE PTAN
5004837OtherNCNURSE PRACTITIONER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbrinkley@fourseasonscfl.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101021000657 NC Practitioner - Nurse Practitioner 7911190012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Henderson County IncGroup PAC ID 4880507466, 43 clinicians

Practice addresses (Care Compare)

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004837NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Henderson County, Inc. CurrentSince Oct 2, 2017 Accepting new patients
Hospice of Henderson County Inc CurrentSince Oct 2, 2017 Accepting new patients

Locations

571 S Allen Rd
Flat Rock, NC 28731
Phone (828) 692-9633

Interoperability endpoints

  • Direct secure messaging: dbrinkley@fourseasonscfl.org

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437466786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "28731",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "DANETTE",
        "middle_name": "HARRELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC6207D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "132836",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC6207C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC6207B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2594945",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "5004837",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrinkley@fourseasonscfl.org",
            "affiliation": "N",
            "address_1": "571 S Allen Rd",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.