Individual provider Active NPI

Elizabeth Smith

  • Family Nurse Practitioner
  • Homewood, AL
National Provider Identifier
1124969894
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-169659 Issued in AL
Practice address
2704 20TH St S # 100
Homewood, AL 35209-1924
Phone
(205) 592-1800
NPI assigned
Apr 4, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-169659 AL Primary

Addresses

Primary practice location

2704 20TH St S # 100
Homewood, AL 35209-1924

Mailing address

124 Memory CT Apt D
Mountain BRK, AL 35213-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604001649 AL Practitioner - Nurse Practitioner 0446721039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Varicosity LLCGroup PAC ID 3678541596, 19 clinicians

Practice addresses (Care Compare)

2704 20TH St S
Suite 100
Homewood, AL 35209-1924
Phone 2055921800209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-169659ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Vein Care of Huntsville, LLC CurrentSince Jun 1, 2026 Accepting new patients
Varicosity LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

1942 AL Highway 157
Cullman, AL 35058
Phone (256) 736-8998

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

1041 Balch Rd
Ste 375
Madison, AL 35758
Phone (256) 258-9940

1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1124969894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MEMORY CT APT D",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 20TH ST S # 100",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352091924",
            "telephone_number": "205-592-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.