Individual provider Active NPI

Heather Mayrenee Stephen-Selby, FNP

  • Nurse Practitioner
  • Tukwila, WA
National Provider Identifier
1346209509
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30005084 Issued in WA
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

Updated by the provider on Jan 17, 2025

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
RN00116343WAMDRegistered Nurse
AP30005084WAMDNurse Practitioner
AP30006319WAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: heather.stephenselby.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: 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.

Verify at the official NPI Registry.