TRACEY LYNN BRINK RN NPI 1740598507

NPI Information

NPI: 1740598507
Provider Name: TRACEY LYNN BRINK, RN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
571 S FLOYD ST
SUITE 342
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-8470
Get Directions

Tracey Lynn Brink, RN is a neonatal nurse practitioner in Louisville, KY. Tracey Lynn Brink, RN NPI is 1740598507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

571 S FLOYD ST
SUITE 342
LOUISVILLE, KY
ZIP 40202-818
Phone: (502) 852-8470

The NPI 1740598507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 7/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		363594	OHIO	No
2	363LN0000X	Nurse Practitioner	Neonatal	006114	CONNECTICUT	No
3	163W00000X	Registered Nurse		126171	CONNECTICUT	No
4	363LN0000X	Nurse Practitioner	Neonatal	3006556	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201040490	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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