Active NPI
Heather Wyman, APRN, FNP-BC
- Family Nurse Practitioner
- Duvall, WA
National Provider Identifier
1104606045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61491134
- Practice address
- 14362 3Rd Cir NE
Duvall, WA 98019-8642 - Phone
- (425) 562-2000
- Fax
- (425) 249-3064
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61491134 | WA | Primary |
Addresses
Primary practice location
14362 3Rd Cir NE
Duvall, WA 98019-8642
Mailing address
14362 3Rd Cir NE
Duvall, WA 98019-8642
Phone (425) 614-8404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61491134 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates, PLLC | Past | Accepting new patients | |
| Wyndrose Family Clinic, PLLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Duvall, WA
- NPI 1093639049
-
- Family Medicine Physician
- Bellevue, WA
- NPI 1114010535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1104606045",
"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",
"telephone_number": "425-614-8404",
"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": "425-562-2000",
"fax_number": "425-249-3064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN",
"first_name": "HEATHER",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61491134",
"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 14, 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.