Daniel Kelly Brinlee, CSFA, CST

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

204179 Issued in OR

Practice address

1401 N 10TH Ave
Stayton, OR 97383-1399

Phone

(503) 769-2175

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1639844186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 GEHLAR RD NW APT 1050",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831399",
            "telephone_number": "503-769-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINLEE",
        "first_name": "DANIEL",
        "middle_name": "KELLY",
        "credential": "CSFA, CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "OR",
            "license": "204179",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "OR",
            "license": "187526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa Bosch, CHW
• Richard C Boughn, MD
• Kristen Bowman, RD
• Katelynne Marie Braff, CST, CSFA
• Eric Steven Braman, DPT
• Kyle Evan Brinlee, CST
• Xakeila-Lee Byron-Stanley, SLP
• Canyon Family Health Inc
• Coby Cates, PHARMD
• Ian Cavigli, PA-C

• Surgical Assistant in Stayton, OR
• Providers in Stayton, OR by specialty
• Surgical Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.