Empower Medical and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EMPOWER MEDICAL AND WELLNESS

Practice address

1901 N Hemmer Rd Ste 211
Palmer, AK 99645-9690

Phone

(907) 315-4042

Fax

(907) 313-1417

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Tyfanae Brinke, ANPNPI 1669926978

Title

Family Nurse Practitioner

Phone

(907) 315-4042

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyfanae Brinke, ANP-BC

  • Family Nurse Practitioner
  • Thompsons Station, TN
  • NPI 1669926978
  NPD (past) Authorized official

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1679139596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY",
            "address_2": "STE 3 PMB 568",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456967",
            "telephone_number": "907-315-4042",
            "fax_number": "907-313-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HEMMER RD STE 211",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459690",
            "telephone_number": "907-315-4042",
            "fax_number": "907-313-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2021-02-01",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "BRINKE",
        "authorized_official_first_name": "TYFANAE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-315-4042",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1652161",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "empoweralaska@gmail.com",
            "affiliation": "N",
            "address_1": "1150 S Colony Way Ste 1",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996456967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "empoweralaska@gmail.com",
            "affiliation": "N",
            "address_1": "1150 S Colony Way Ste 3",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996456972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin David Eachon, PA-C, 1LT
• Mary Eckart
• Justin L Edens
• Angels K Elliott Scott
• Alisa Tanya Elliott-Rector, OTR/L
• Ashley Engan
• Dwayne Harry Engelbrecht, D.C.
• Megan Eppelsheimer
• Aimee Epps, MT LICENSE
• Bonnie Erickson

• All providers in Palmer, AK
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.