Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Makena Grace Dillashaw

Individual provider Gerontology Nurse Practitioner · NPI 1245124965

Makena Grace Dillashaw is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2025, 1 year ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1802 6th Ave S # M855C
Birmingham, AL 35233-1932
Phone: (205) 934-6256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-158332 (AL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 1-158332 (AL)

Record details

NPI number1245124965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 6, 2025
Certification dateMay 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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