Individual provider Active NPI

Heather Green Talbot, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1922034354
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1093964 Issued in AL
Practice address
2 Medical Park Dr
Fairhope, AL 36532-2083
Phone
(251) 990-6550
Fax
(251) 990-6552
NPI assigned
Jun 25, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1093964 AL Primary

Addresses

Primary practice location

2 Medical Park Dr
Fairhope, AL 36532-2083

Mailing address

2 Medical Park Dr
Fairhope, AL 36532-2083
Phone (251) 990-6550

Other practice location 1

150 S Ingleside St Ste 2
Fairhope, AL 36532-1804
Phone (251) 990-6550

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
I20060503000684 AL Practitioner - Nurse Practitioner 5698785756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diegmann and Henderson OBGYN PCGroup PAC ID 9032110770, 6 clinicians

Practice addresses (Care Compare)

150 S Ingleside St
Suite 2
Fairhope, AL 36532-1804
Phone (251) 990-6550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1093964ALMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diegmann and Henderson OBGYN PC CurrentSince Nov 17, 2024 Accepting new patients
Bay Eyes Cataract and Laser Center, Inc. PastSince Nov 24, 2024 Accepting new patients
Gulf Health Hospitals, Inc. Past Accepting new patients
Epiphany Women's Health PastSince Sep 1, 2024 Accepting new patients

Locations

150 S Ingleside St
#2
Fairhope, AL 36532
Phone (251) 990-6550

2 Medical Park Dr
Fairhope, AL 36532
Phone (251) 990-6550

Interoperability endpoints

  • Direct secure messaging: heather.talbot.1@25555.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1922034354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322083",
            "telephone_number": "251-990-6550",
            "fax_number": "251-990-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322083",
            "telephone_number": "251-990-6550",
            "fax_number": "251-990-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Ingleside St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321804",
            "country_code": "US",
            "telephone_number": "251-990-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "HEATHER",
        "middle_name": "GREEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1093964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.