Individual provider Active NPI

Heidi Johnson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1710778121
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-197666 Issued in AL
Practice address
2006 Brookwood Medical Ctr Dr Ste 202
Birmingham, AL 35209-6823
Phone
(205) 397-8850
Fax
(833) 450-5271
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-197666 AL Primary

Addresses

Primary practice location

2006 Brookwood Medical Ctr Dr Ste 202
Birmingham, AL 35209-6823

Mailing address

2006 Brookwood Medical Ctr Dr Ste 202
Birmingham, AL 35209-6823
Phone (205) 397-8850

Other practice location 1

500 Towncenter Blvd
Tuscaloosa, AL 35406-1846
Phone (205) 397-8850

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
I20250903002397 AL Practitioner - Nurse Practitioner 6901308618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Brookwood Medical Ctr Dr
Suite 202
Birmingham, AL 35209-6849

2101 Highland Ave S
Suite 300
Birmingham, AL 35205-4009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-197666ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Womens Health PC CurrentSince Aug 4, 2025 Accepting new patients
Henderson & Walton Womens Center PC Past Accepting new patients

Locations

2006 Brookwood Medical Ctr Dr
Ste 202
Birmingham, AL 35209
Phone (205) 397-8850

500 Towncenter Blvd
Ste A
Tuscaloosa, AL 35406
Phone (205) 344-5314

500 Towncenter Blvd
Tuscaloosa, AL 35406
Phone (205) 344-5314

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.433
  • Direct secure messaging: heidi.johnson.1@29642.direct.athenahealth.com

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1710778121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096823",
            "telephone_number": "205-397-8850",
            "fax_number": "833-450-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096823",
            "telephone_number": "205-397-8850",
            "fax_number": "833-450-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Towncenter Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354061846",
            "country_code": "US",
            "telephone_number": "205-397-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEIDI",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-197666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.