Active NPI
Wyndrose Family Clinic, PLLC
- Family Medicine Physician
- Duvall, WA
National Provider Identifier
1093639049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WYNDROSE FAMILY CLINIC, PLLC
- Practice address
- 14362 3Rd Cir NE
Duvall, WA 98019-8642 - Phone
- (425) 614-8404
- Fax
- (425) 249-3064
- NPI assigned
- Aug 4, 2026
- Last updated
- Aug 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Wyman, NP
- Title
- Owner
- Phone
- (425) 614-8404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
14362 3Rd Cir NE
Duvall, WA 98019-8642
Mailing address
14362 3Rd Cir NE
Duvall, WA 98019-8642
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Duvall, WA
- NPI 1104606045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1093639049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14362 3RD CIR NE",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198642",
"fax_number": "425-249-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14362 3RD CIR NE",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198642",
"telephone_number": "425-614-8404",
"fax_number": "425-249-3064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYNDROSE FAMILY CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "WYMAN",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-614-8404",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.