Individual provider Active NPI

Tina M Hamilton, RN, CRNP

  • Adult Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1629076054
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R114405 Issued in MD
Practice address
5999 Harpers Farm Rd
Suite W 250
Columbia, MD 21044-3013
Phone
(410) 772-8822
Fax
(410) 772-9274
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R114405 MD Primary

Addresses

Primary practice location

5999 Harpers Farm Rd
Suite W 250
Columbia, MD 21044-3013

Mailing address

1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other identifiers 1

IdentifierTypeStateIssuer
555002500MedicaidMD

Other names 1

  • Tina Brinkley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101008000842 MD Practitioner - Nurse Practitioner 5597957506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

516 N Rolling Rd
Suite 304
Catonsville, MD 21228-4133
Phone (410) 744-0890

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA CurrentSince Nov 21, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

516 N Rolling Rd
Ste 304
Catonsville, MD 21228
Phone (410) 744-0890

5999 Harpers Farm Rd
Ste W250
Columbia, MD 21044
Phone (410) 772-8822

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

Interoperability endpoints

  • Direct secure messaging: tinahamilton@mana.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1629076054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 HARPERS FARM RD",
            "address_2": "SUITE W 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443013",
            "telephone_number": "410-772-8822",
            "fax_number": "410-772-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R114405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555002500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BRINKLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.