Active NPI
Heather Mayrenee Stephen-Selby, FNP
- Nurse Practitioner
- Tukwila, WA
National Provider Identifier
1346209509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30005084
- Practice address
- 13030 Military Rd S Ste 200
Tukwila, WA 98168-3001 - Phone
- (206) 439-3289
- NPI assigned
- Mar 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30005084 | WA | Primary |
| Registered Nurse | 163W00000X | RN00116343 | WA | |
| Family Nurse Practitioner | 363LF0000X | RN00116343 | WA |
Addresses
Primary practice location
13030 Military Rd S Ste 200
Tukwila, WA 98168-3001
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other practice location 1
333 Washington Ave N
5000
Minneapolis, MN 55401-1377
Phone (612) 659-7111
Other names 1
- Heather Mayrenee Selby
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hstephenselby21759@healthpoint.direct-ci.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00116343 | WA | MD | Registered Nurse |
| AP30005084 | WA | MD | Nurse Practitioner |
| AP30006319 | WA | MD | Family Nurse Practitioner |
Interoperability endpoints
- heather.stephenselby.p3@direct.hpc.nextgenshare.com
- hstephenselby21759@healthpoint.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1346209509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13030 MILITARY RD S STE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683001",
"telephone_number": "206-439-3289"
}
],
"practiceLocations": [
{
"address_1": "333 Washington Ave N",
"address_2": "5000",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554011377",
"country_code": "US",
"telephone_number": "612-659-7111",
"fax_number": "612-659-7101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHEN-SELBY",
"first_name": "HEATHER",
"middle_name": "MAYRENEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30005084",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00116343",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "RN00116343",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hstephenselby21759@healthpoint.direct-ci.com",
"affiliation": "N",
"address_1": "13030 Military Rd S Ste 200",
"city": "Tukwila",
"state": "WA",
"country_code": "US",
"postal_code": "981683001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SELBY",
"middle_name": "MAYRENEE",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.