Individual provider Active NPI

Heather Nicole Badger, NP-C

  • Family Nurse Practitioner
  • Coupeville, WA
National Provider Identifier
1194211748
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60867565 Issued in WA
Practice address
1130 Race Rd
Coupeville, WA 98239-9528
Phone
(360) 929-0021
Fax
(208) 262-2390
NPI assigned
Jul 6, 2018
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 69887 ID
Nurse Practitioner 363L00000X AP60867565 WA
Family Nurse Practitioner 363LF0000X AP60867565 WA Primary

Addresses

Primary practice location

1130 Race Rd
Coupeville, WA 98239-9528

Mailing address

1130 Race Rd
Coupeville, WA 98239-9528
Phone (360) 929-0021

Other practice location 1

101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-5151

Other identifiers 1

IdentifierTypeStateIssuer
1194211748MedicaidID

Other names 1

  • Ms. Heather Graham 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
I20180816001879 WA Practitioner - Nurse Practitioner 7214286731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11245 State Route 525
Clinton, WA 98236-8638
Phone (360) 341-5252

1300 NE Goldie St
Oak Harbor, WA 98277-4832

77 N Main St
Coupeville, WA 98239-9556
Phone (360) 682-2814

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60867565WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Marys CurrentSince Mar 1, 2024 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jun 6, 2025 Accepting new patients
WGH Primary Care Associates, P.S. Current Accepting new patients
Avera St Marys Current Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jul 20, 2026 Accepting new patients
Avera St Marys CurrentSince Mar 1, 2024 Accepting new patients
Onward Mobile Medicine, PLLC CurrentSince Oct 16, 2022 Accepting new patients

Locations

11245 State Route 525
Clinton, WA 98236
Phone (360) 341-5252

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

77 N Main St
Coupeville, WA 98239
Phone (360) 678-0831

5486 Harbor Ave
Freeland, WA 98249
Phone (360) 331-5060

1300 NE Goldie St
Slp Care
Oak Harbor, WA 98277
Phone (360) 240-4082

275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648

Interoperability endpoints

  • Direct secure messaging: hbadger@nwsh.gwaydirect.com
  • Direct secure messaging: heather.badger@avera.sdhealthlink.net

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1194211748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 RACE RD",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399528",
            "telephone_number": "360-929-0021",
            "fax_number": "208-262-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 RACE RD",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399528",
            "telephone_number": "360-929-0021",
            "fax_number": "208-262-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Main St",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393413",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADGER",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-10-01",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "69887",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60867565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60867565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194211748",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GRAHAM",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

Verify at the official NPI Registry.