Individual provider Active NPI

Takeshia Monique Dent-Thomas, DNP, MSN, CCRN, NP-C

  • Family Nurse Practitioner
  • Hueytown, AL
National Provider Identifier
1306197942
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-107825 Issued in AL
Practice address
3039 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2397
Phone
(205) 538-5178
Fax
(205) 538-5194
NPI assigned
Sep 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 1-107825 AL Primary

Addresses

Primary practice location

3039 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2397

Mailing address

3039 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2397
Phone (205) 538-5178

Other identifiers 1

IdentifierTypeStateIssuer
186301MedicaidAL

Other names 1

  • Dr. Takeshia Monique Dent-Thomas Professional name

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
I20160817000967 AL Practitioner - Nurse Practitioner 8224323159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-107825ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medicine of Alabama CurrentSince May 12, 2016 Accepting new patients
Divine Pediatrics Healthcare Current Accepting new patients

Locations

7070 Weibel Dr
Fairfield, AL 35064
Phone (205) 786-7600

3039 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 497-5555

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": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1306197942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232397",
            "telephone_number": "205-538-5178",
            "fax_number": "205-538-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232397",
            "telephone_number": "205-538-5178",
            "fax_number": "205-538-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENT-THOMAS",
        "first_name": "TAKESHIA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, CCRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-22",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-107825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186301",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKESHIA",
            "last_name": "DENT-THOMAS",
            "middle_name": "MONIQUE",
            "prefix": "DR.",
            "credential": "DNP, MSN, CCRN, NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hueytown, AL

Sources for this page

Verify at the official NPI Registry.