Individual provider Active NPI

Heather Rhea Gridley, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
National Provider Identifier
1285019612
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD61512839 Issued in WA
Practice address
15912 E Marietta Ave
Spokane Valley, WA 99216-2552
Phone
(509) 892-2700
NPI assigned
Jul 28, 2015
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD61512839 WA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 63831 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD218306 OR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 216589 AK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20996 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MEDPHYSCOMLIC131870 MT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MC-2544 ID

Addresses

Primary practice location

15912 E Marietta Ave
Spokane Valley, WA 99216-2552

Mailing address

PO Box 3405
Spokane, WA 99220-3405
Phone (509) 753-7222

Other practice location 1

500 W Broadway St
Missoula, MT 59802-4008
Phone (509) 753-7222

Other practice location 2

13103 E Mansfield Ave
Spokane Valley, WA 99216-1642
Phone (509) 892-2700

Other practice location 3

3001 St Anthony Way
Pendleton, OR 97801-3836
Phone (509) 753-7222

Other practice location 4

2811 S 102nd St Ste 170
Tukwila, WA 98168-1870
Phone (509) 753-7222

Other practice location 5

221 Wellsian Way
Richland, WA 99352-4114
Phone (509) 753-7222

Other practice location 6

1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone (509) 753-7222

Other practice location 7

55 W Tietan St
Walla Walla, WA 99362-4445
Phone (509) 753-7222

Other names 1

  • Heather Hartin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, ID, WA, OR, MT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20210623001356 NV Practitioner - Pathology 9234530650 Reassigns benefits to 1 organization
I20210827002592 AZ Practitioner - Pathology 9234530650 Reassigns benefits to 1 organization
I20240123003797 ID Practitioner - Pathology 9234530650 Reassigns benefits to 1 organization
I20240212000819 WA Practitioner - Pathology 9234530650 Reassigns benefits to 1 organization
I20240604004283 OR Practitioner - Pathology 9234530650 Reassigns benefits to 1 organization
I20240925004281 MT Practitioner - Pathology 9234530650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incyte Pathology PLLCGroup PAC ID 9638067945, 43 clinicians

Practice addresses (Care Compare)

13103 E Mansfield Ave
Spokane Valley, WA 99216-1642
Phone (509) 892-2700

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

221 Wellsian Way
Richland, WA 99352-4114
Phone (509) 892-2700

2811 S 102ND St
Suite 170
Tukwila, WA 98168-1870
Phone (509) 892-2700

500 W Broadway St
Missoula, MT 59802-4096
Phone (509) 892-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.29 of 100Reported as group
Quality
68.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216589AKMDAnatomic Pathology & Clinical Pathology Physician
63831AZMDAnatomic Pathology & Clinical Pathology Physician
MEDPHYSCOMLIC131870MTMDAnatomic Pathology & Clinical Pathology Physician
20996NVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD Hematology CurrentSince Jul 1, 2021 Accepting new patients
Incyte Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2024 Accepting new patients
Laboratory Medicine Consultants LTD CurrentSince Aug 9, 2021 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

File 749203
Los Angeles, CA 90074

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7455 W Washington Ave
Las Vegas, NV 89128
Phone (702) 425-0978

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

3001 St Anthony Way
Ste 107
Pendleton, OR 97801
Phone (541) 278-4755

221 Wellsian Way
Richland, WA 99352
Phone (503) 341-9352

13103 E Mansfield Ave
Spokane Valley, WA 99216

15912 E Marietta Ave
Spokane Valley, WA 99216

2811 S 102nd St
Ste 170
Tukwila, WA 98168
Phone (425) 646-0922

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1285019612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203405",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15912 E MARIETTA AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162552",
            "telephone_number": "509-892-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13103 E Mansfield Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161642",
            "country_code": "US",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 St Anthony Way",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "OR",
            "postal_code": "978013836",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2811 S 102nd St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981681870",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Wellsian Way",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524114",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624116",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 W Tietan St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624445",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIDLEY",
        "first_name": "HEATHER",
        "middle_name": "RHEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD61512839",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "63831",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD218306",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "216589",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "20996",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MT",
            "license": "MEDPHYSCOMLIC131870",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ID",
            "license": "MC-2544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HARTIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.