Heather Danae Mai-Roecker, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61165816 Issued in WA

Practice address

12800 Bothell Everett Hwy Ste 120
Everett, WA 98208-6642

Phone

(425) 316-5155

Fax

(425) 316-5156

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Heather Danae Mai Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Providence Health & Services - Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1013169507
  NPD (past)
• Wathan Chiropractic LLC

  • Chiropractor
  • Kalispell, MT
  • NPI 1114114030
  NPD (past)

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1174836084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 45TH PL W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752711",
            "telephone_number": "319-415-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOTHELL EVERETT HWY STE 120",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086642",
            "telephone_number": "425-316-5155",
            "fax_number": "425-316-5156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 45th Pl W",
            "address_purpose": "LOCATION",
            "city": "Mukilteo",
            "state": "WA",
            "postal_code": "982752711",
            "country_code": "US",
            "telephone_number": "319-415-6573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI-ROECKER",
        "first_name": "HEATHER",
        "middle_name": "DANAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007340",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A135294",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61165816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MAI",
            "middle_name": "DANAE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ravilla L Mahidhar, MD
• Safa Fawaza Mahmood, M.D.
• Amaya Mahmoud
• Alexa Mahoney, MSOT, OTR
• Rachel Jeanette Mahoney, D.M.D.
• Mekdes K Maile
• Douglas Mailman, M.D.
• Bruce E Main, MD
• Maio Counseling LLC
• Matthew Majerus

• Family Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.