Individual provider Active NPI

Brigitta M. Brink, RN, MSN, CWOCN

  • Home Health Registered Nurse
  • Swansea, IL
National Provider Identifier
1952590507
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Practice address
7 Executive Woods CT
Suite a
Swansea, IL 62226-7608
Phone
(618) 236-5800
Fax
(618) 236-5851
NPI assigned
Oct 19, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered Nurse 163WC2100X IL
Home Health Registered Nurse 163WH0200X IL Primary
Wound Care Registered Nurse 163WW0000X IL

Addresses

Primary practice location

7 Executive Woods CT
Suite a
Swansea, IL 62226-7608

Mailing address

7 Executive Woods CT
Suite F
Swansea, IL 62226-7608
Phone (618) 236-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-193575ILMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1952590507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE WOODS CT",
            "address_2": "SUITE F",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267608",
            "telephone_number": "618-236-5800",
            "fax_number": "618-236-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE WOODS CT",
            "address_2": "SUITE A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267608",
            "telephone_number": "618-236-5800",
            "fax_number": "618-236-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "BRIGITTA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.