KODA BRINKER PMHNP-BC
NPI 1043055502
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

NPI Status: Active since June 27, 2024

Contact Information

10304 EATON PL STE 100
FAIRFAX, VA
ZIP 22030
Phone: (571) 463-8620

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Practitioner
Psychiatric/Mental Health

About KODA BRINKER

This page provides the complete NPI Profile along with additional information for Koda Brinker, a provider established in Fairfax, Virginia with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1043055502 assigned on June 2024. The practitioner's primary taxonomy code is 363LP0808X with license number 0024190559 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI: 1043055502
Provider Name: KODA BRINKER PMHNP-BC
Gender: Male
Entity Type: Individual
Location Address: 10304 EATON PL STE 100 FAIRFAX, VA 22030
Location Phone: (571) 463-8620
Mailing Address: 732 DALY ST PHILADELPHIA, PA 19148
Mailing Phone: (312) 995-3630
Is Sole Proprietor?: Yes
Enumeration Date: 06-27-2024
Last Update Date: 11-26-2024
Code Navigator

A nurse practitioner (NP) like Koda Brinker is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

800 S Frederick Ave Ste 200
Gaithersburg, MD 20877
(571) 463-8620
1629 K St NW Ste 300
Washington, DC 20006
(571) 463-8620
1140 3rd St NE Ste 200
Washington, DC 20002
(571) 463-8620

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Psychiatric/Mental Health
Taxonomy Code: 363LP0808X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 0024190559
License State: VA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Psychiatric/Mental Health	NP500013147 (DC)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043055502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 0 + 5 + 1 + 0 + 5 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1043055502.