Heidi J Pruett

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-075629 Issued in AL

Practice address

430 Fieldstown Rd Ste 104
Gardendale, AL 35071-2458

Phone

(205) 631-5521

Fax

(205) 631-5540

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Heidi J Paff Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Baptist Health Centers, LLC

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment Care Compare group NPD
• Southern NP Associates, LLC

  • Adult Health Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1407257447
  Medicare reassignment Care Compare group NPD
• Baptist Health Centers LLC

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Azzam Medical Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Bessemer, AL
  • NPI 1801203369
  NPD (past)

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1699418228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407, DEPARTMENT 8007",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468007",
            "telephone_number": "205-631-5521",
            "fax_number": "205-631-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 FIELDSTOWN RD STE 104",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712458",
            "telephone_number": "205-631-5521",
            "fax_number": "205-631-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Carbon Hill",
            "state": "AL",
            "postal_code": "355495044",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "AL",
            "postal_code": "351271915",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "HEIDI",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-075629",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-075629",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-075629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Birmingham",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4661 Amberley Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352427588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "PAFF",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Renee Evelyn Prochazka, DMD
• Providence Counseling LLC
• Psychotherapy Services of Alabama LLC
• Publix Alabama LLC
• Madison Pugh
• Purple Heart Transportation LLC
• Margaret Artigues Quinn, DPT

• Gerontology Nurse Practitioner in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.