Active NPI
Demetria Y Ingram-Hines
- Community Health Worker
- Brownstown, MI
National Provider Identifier
1053104497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 27125 Lancaster Dr
Brownstown, MI 48134-9068 - Phone
- (313) 615-6741
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
27125 Lancaster Dr
Brownstown, MI 48134-9068
Mailing address
1 Ford PL
Detroit, MI 48202-3450
Phone (800) 436-7936
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 977-1162
Other practice location 2
1 Ford Pl
Detroit, MI 48202-3450
Phone (800) 436-7936
Other names 1
- Demetria Y Ingram-Hines
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Michigan Health Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Hamtramck, MI
- NPI 1134398027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1053104497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "800-436-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27125 LANCASTER DR",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "481349068",
"telephone_number": "313-615-6741"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-977-1162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Ford Pl",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023450",
"country_code": "US",
"telephone_number": "800-436-7936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM-HINES",
"first_name": "DEMETRIA",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEMETRIA",
"last_name": "INGRAM-HINES",
"middle_name": "Y",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brownstown, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.