MONIQUE JACQUELINE BRINK (NPI# 1356608103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356608103 |
| Entity Type | Individual |
| Full Name | MONIQUE JACQUELINE BRINK |
| Credential | APRN-CNP |
| Practice Address |
2510 E Independence St Shawnee OK 74804-1839 |
| Mailing Address |
3545 Nw 58th St Ste 450 Oklahoma City OK 73112-4726 |
| Practice Telephone | 8009422904 |
| Mailing Telephone | 4059514370 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN0081023 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R81023 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
K2009687 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Nw Expressway Ste 102, Oklahoma City, OK 731127200 | 4052130192 | 4054380988 |
| 3433 Nw 56th St, Ste 400, Oklahoma City, OK 731124455 | 4059473341 | 4059514393 |
| Street Address |
2510 E INDEPENDENCE ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427063247 | Misty Dawn Sheldon | Dentist | 2510 E Independence St, #600, Shawnee, OK 74804-1839 | 2006-07-30 |
| 1497255731 | Cohesive Home Healthcare | Home Health | 2510 E Independence St, Shawnee, OK 74804-1839 | 2018-02-13 |
| 1548319130 | Renalla Kaye Ellis | Dentist | 2510 E Independence St, Shawnee, OK 74804-1839 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1205072048 | Brooks & Associates | Nurse Practitioner | 6850 Hilltop Rd Ste 170, Shawnee, KS 66226-3562 | 2008-12-29 |
| 1346340312 | Teresa Scott | Nurse Practitioner | 7440 W Frontage Road, Shawnee, KS 66203-4670 | 2006-09-22 |
| 1184681694 | Janet S Pasquali-bowers | Nurse Practitioner | 3306 N Kickapoo Ave, Suite 150 & 154, Shawnee, OK 74804-1702 | 2006-04-27 |
| 1306345277 | Mikayla Marie Strief | Nurse Practitioner | 9100 W 74th St, Shawnee, KS 66204 | 2018-02-06 |
| 1023539616 | Stefani Lim | Nurse Practitioner | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2017-07-05 |
| 1851848352 | Jenna Koepke | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217 | 2016-09-01 |
| 1629457544 | Ashley Thornton | Nurse Practitioner | 9300 Meadow View Dr, Shawnee, KS 66227-7288 | 2015-05-26 |
| 1649685470 | Cindy Heath | Nurse Practitioner | 3700 N Kickapoo Ave, Ste 124, Shawnee, OK 74804-1707 | 2014-07-01 |
| 1356671952 | Amy Nichole Sherman | Nurse Practitioner | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2010-01-04 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.