Individual provider Active NPI

Demetria Lache Hill, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1811511389
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1142342 Issued in AL
Practice address
601 Beacon Pkwy W Ste 212
Birmingham, AL 35209-3123
Phone
(205) 666-1500
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 1142342 AL Primary

Addresses

Primary practice location

601 Beacon Pkwy W Ste 212
Birmingham, AL 35209-3123

Mailing address

3916 24TH CT E
Tuscaloosa, AL 35405-3341
Phone (205) 454-1866

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
I20250717000869 AL Practitioner - Nurse Practitioner 6406361435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elemental Living IncGroup PAC ID 7214385822, 8 clinicians

Practice addresses (Care Compare)

200 Beacon Pkwy W
Suite 202D
Birmingham, AL 35209-3102
Phone (954) 231-5484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142342ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Living Inc Family CurrentSince Jun 1, 2025 Accepting new patients
Homewood Medical LLC PastSince Sep 17, 2023 Accepting new patients

Locations

200 Beacon Pkwy W
Birmingham, AL 35209
Phone (205) 215-4211

301 Almeria Ave
Ste 250
Coral Gables, FL 33134

301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1811511389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 24TH CT E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053341",
            "telephone_number": "205-454-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BEACON PKWY W STE 212",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093123",
            "telephone_number": "205-666-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DEMETRIA",
        "middle_name": "LACHE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1142342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.