Individual provider Active NPI

Lakisha Nicole Hamlett, CRNP

  • Nurse Practitioner
  • Centreville, AL
National Provider Identifier
1982177606
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-118179 Issued in AL
Practice address
405 Belcher St
Centreville, AL 35042-2946
Phone
(205) 926-2992
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F09181021 AL
Nurse Practitioner 363L00000X 1-118179 AL Primary

Addresses

Primary practice location

405 Belcher St
Centreville, AL 35042-2946

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

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
I20201110001658 AL Practitioner - Nurse Practitioner 8426468075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-118179ALMDNurse Practitioner
F09181021ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Mar 17, 2021 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Mar 17, 2021 Accepting new patients
American Family Care, LLC CurrentSince Sep 21, 2020 Accepting new patients
American Family Care, LLC CurrentSince Sep 21, 2020 Accepting new patients

Locations (25 of 27)

1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

975 9th Ave SW
Ste 210
Bessemer, AL 35022
Phone (205) 933-0987

873 Dennison Ave SW
Ste 102
Birmingham, AL 35211
Phone (205) 774-3309

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

1240 Cotton Ave SW
Birmingham, AL 35211

160 4th St
Brent, AL 35034
Phone (205) 928-6045

1984 Main St
Brent, AL 35034
Phone (205) 928-3492

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1925 Avenue E
Ensley, AL 35218
Phone (205) 788-5164

301 61st St
Fairfield, AL 35064

610 Valley Rd
Fairfield, AL 35064
Phone (205) 277-2372

1301 Highland Dr
Fairfield, AL 35064

7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048

715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

710 15th St E
Tuscaloosa, AL 35401
Phone (205) 509-2941

828 Cahaba River Dr
West Blocton, AL 35184

Interoperability endpoints

  • Direct secure messaging: lakisha.hamlett.1@11347.direct.athenahealth.com

Organizations & group practices 4

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1982177606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLETT",
        "first_name": "LAKISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "F09181021",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-118179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.