Active NPI
Tyfanae Brinke, ANP-BC
- Family Nurse Practitioner
- Thompsons Station, TN
National Provider Identifier
1669926978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 114314
- Practice address
- 2095 Branford PL Ste 102B
Thompsons Station, TN 37179-1018 - Phone
- (907) 795-8456
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
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.
-
- Adult Health Nurse Practitioner
- Thompsons Station, TN
- NPI 1629752571
-
- Primary Care Clinic/Center
- Palmer, AK
- NPI 1679139596
-
- Neurological Surgery Physician
- Anchorage, AK
- NPI 1528253838
-
- Internal Medicine Physician
- Palmer, AK
- NPI 1699795526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2020 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114314 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Brinke Investments LLC | Current | Accepting new patients | |
| Family Health Center, PC | Family | Current | Accepting new patients |
| Alaska Neuroscience Associates,LLC | Past | Accepting new patients | |
| Natalie Beyeler, D.O. | Past | Accepting new patients | |
| Empower Medical and Wellness | Past | Accepting new patients |
Locations
425 E Dahlia Ave
Ste L
Palmer, AK 99645
Phone (907) 376-2411
Interoperability endpoints
- tyfanae.brinke@604815438970884.direct.elationemr.com
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 114314 | AK | Primary |
| Family Medicine Physician | 207Q00000X | 114314 | AK |
Addresses
Primary practice location
2095 Branford PL Ste 102B
Thompsons Station, TN 37179-1018
Mailing address
2095 Branford PL Ste 102B
Thompsons Station, TN 37179-1018
Phone (615) 236-5815
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cornerstonewellnessTN@gmail.com |
NPI Registry JSON
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1669926978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 BRANFORD PL STE 102B",
"city": "THOMPSONS STATION",
"state": "TN",
"postal_code": "371791018",
"telephone_number": "615-236-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 BRANFORD PL STE 102B",
"city": "THOMPSONS STATION",
"state": "TN",
"postal_code": "371791018",
"telephone_number": "907-795-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKE",
"first_name": "TYFANAE",
"name_prefix": "Mrs.",
"credential": "ANP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "114314",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "114314",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cornerstonewellnessTN@gmail.com",
"affiliation": "N",
"address_1": "2095 Branford Pl Ste 102B",
"city": "Thompsons Station",
"state": "TN",
"country_code": "US",
"postal_code": "371791018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thompsons Station, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.