Individual provider Active NPI

Donielle Dawn Brinkley, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1801496229
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28096 Issued in TN
Practice address
1001 Edenbridge Way
Knoxville, TN 37923-6615
Phone
(931) 607-1515
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 166910 TN
Family Nurse Practitioner 363LF0000X 28096 TN Primary

Addresses

Primary practice location

1001 Edenbridge Way
Knoxville, TN 37923-6615

Mailing address

1001 Edenbridge Way
Knoxville, TN 37923-6615
Phone (931) 607-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220124000042 TN Practitioner - Nurse Practitioner 6800288986 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166910TNMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jan 31, 2022 Accepting new patients
BH Services Southeast 1 PC CurrentSince Jul 18, 2025 Accepting new patients
Total Extended Care Services PC CurrentSince Nov 1, 2024 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Jan 31, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

2565 N Washington Ave
Brownsville, TN 38012
Phone (731) 772-4199

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

727 E Church St
Lexington, TN 38351
Phone (731) 432-9461

1513 N 2nd St
Memphis, TN 38107
Phone (901) 272-2494

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1801496229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 EDENBRIDGE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236615",
            "telephone_number": "931-607-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EDENBRIDGE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236615",
            "telephone_number": "931-607-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "DONIELLE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "166910",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.