Individual provider Active NPI

Zadock Avery, MPH, MSN, APRN, WHNP

  • Women's Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1124446091
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP60865157 Issued in WA
Practice address
2101 E Yesler Way
Seattle, WA 98122-5959
Phone
(206) 299-1600
NPI assigned
Mar 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60865157 WA
Women's Health Nurse Practitioner 363LW0102X 10020221 OR
Women's Health Nurse Practitioner 363LW0102X AP60865157 WA Primary
Nurse Practitioner 363L00000X 10020221 OR

Addresses

Primary practice location

2101 E Yesler Way
Seattle, WA 98122-5959

Mailing address

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6191

Other names 1

  • Heather Brand Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180723002588 WA Practitioner - Nurse Practitioner 9032466065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Roots Community HealthGroup PAC ID 8628966173, 50 clinicians

Practice addresses (Care Compare)

500 19TH Ave E
Seattle, WA 98112-4007
Phone (208) 299-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10020221ORMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Roots Community Health CurrentSince Jun 1, 2024 Accepting new patients
Seattle Roots Community Health CurrentSince Jun 1, 2024 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1124446091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6191",
            "fax_number": "206-625-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ZADOCK",
        "credential": "MPH, MSN, APRN, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60865157",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "10020221",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP60865157",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10020221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BRAND",
            "credential": "MPH, MSN, ARNP, WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.