Individual provider Active NPI

Brihanna Cari Fitch, NP

  • Acute Care Nurse Practitioner
  • Brockport, NY
National Provider Identifier
1790576890
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F432466 Issued in NY
Practice address
122 West Ave Ste 6B
Brockport, NY 14420-1225
Phone
(585) 391-3040
NPI assigned
May 16, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F432466 NY Primary

Addresses

Primary practice location

122 West Ave Ste 6B
Brockport, NY 14420-1225

Mailing address

8 Prince St Apt 304
Rochester, NY 14607-1478
Phone (716) 698-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250612000439 NY Practitioner - Nurse Practitioner 4385154988 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F432466NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brockport Vine Medical PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

122 West Ave
Ste 6B
Brockport, NY 14420
Phone (585) 208-8668

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21016/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1790576890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PRINCE ST APT 304",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071478",
            "telephone_number": "716-698-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WEST AVE STE 6B",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201225",
            "telephone_number": "585-391-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "BRIHANNA",
        "middle_name": "CARI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.