Demetric Childs-Hicks, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-089829 Issued in AL

Practice address

228 Selma Ave
Post Office Box 2213
Selma, AL 36701-5825

Phone

(334) 874-7428

Fax

(334) 874-7435

NPI assigned

Feb 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

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.

• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151
  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1336748300

  AL

  Medicare reassignment NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208
  NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Thomaston, AL
  • NPI 1215471032
  NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Pine Apple, AL
  • NPI 1295804391
  NPD
• Rural Health Medical Program, Inc

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457994121
  NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
  • NPI 1992040950
  NPD
• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Uniontown, AL
  • NPI 1033298757
  NPD
• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419
  NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089
  NPD

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1396168985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SELMA AVE",
            "address_2": "P.O. BOX 2213",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015825",
            "telephone_number": "334-874-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SELMA AVE",
            "address_2": "POST OFFICE BOX 2213",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015825",
            "telephone_number": "334-874-7428",
            "fax_number": "334-874-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS-HICKS",
        "first_name": "DEMETRIC",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-089829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Womens Health and Reproductive Medicine LLC
• Central Alabama Audiology, LLC
• Central Alabama Women'S Clinic
• Charles L. Lett, M D P C
• Children'S Dentistry of Central Alabama, PC
• Park Thetford Chittom II, M.D.
• Park Thetford Chittom, M.D.
• Christian Services for Children in Alabama
• City Blocks Wellness Center, Inc
• Daniel Clanton Clower, M.D.

• Adult Health Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.