Individual provider Active NPI

Tyfanae Brinke, ANP-BC

  • Family Nurse Practitioner
  • Thompsons Station, TN
National Provider Identifier
1669926978
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114314 Issued in AK
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.

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
114314AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T Brinke Investments LLC CurrentSince Jun 25, 2023 Accepting new patients
Family Health Center, PC Family CurrentSince Sep 17, 2018 Accepting new patients
Alaska Neuroscience Associates,LLC PastSince Aug 7, 2016 Accepting new patients
Natalie Beyeler, D.O. PastSince Aug 7, 2016 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

  • Direct secure messaging: tyfanae.brinke@604815438970884.direct.elationemr.com

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL cornerstonewellnessTN@gmail.com

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.