Individual provider Active NPI

Heather Mae Webster, CNM, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1407327596
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202009554NP-PP Issued in OR
Practice address
905 SE 14TH Ave
Portland, OR 97214-2549
Phone
(503) 622-8964
Fax
(503) 715-5469
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP.AP.70012847-NP WA
Midwife 176B00000X 202009554NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202009554NP-PP OR Primary
Midwife 176B00000X ARNP.AP.70000379-CNM WA
Inpatient Obstetric Registered Nurse 163WX0003X 201400373RN OR

Addresses

Primary practice location

905 SE 14TH Ave
Portland, OR 97214-2549

Mailing address

16837 SE Knoll Ridge Ter
Milwaukie, OR 97267-5540
Phone (781) 346-5813

Other practice location 1

880 82nd Dr
Gladstone, OR 97027-1803
Phone (971) 378-0367

Other identifiers 1

IdentifierTypeStateIssuer
201400373RNOtherORRN-BSN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210712003290 OR Practitioner - Certified Nurse Midwife (CNM) 4981006053 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Arts

State licenses

LicenseStateTypeSpecialty
201400373RNORMDInpatient Obstetric Registered Nurse
202009554NP-PPORMDMidwife
ARNP.AP.70000379-CNMWAMDMidwife
ARNP.AP.70012847-NPWAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2021 Accepting new patients
Legacy Clinics LLC Midwife CurrentSince Aug 25, 2022 Accepting new patients
Talking Twenties, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

24850 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-9444

2800 N Vancouver Ave
Portland, OR 97227
Phone (503) 413-4340

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455

Interoperability endpoints

  • Direct secure messaging: hwebster34555@direct.lhs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1407327596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16837 SE KNOLL RIDGE TER",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675540",
            "telephone_number": "781-346-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142549",
            "telephone_number": "503-622-8964",
            "fax_number": "503-715-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 82nd Dr",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "OR",
            "postal_code": "970271803",
            "country_code": "US",
            "telephone_number": "971-378-0367",
            "fax_number": "503-974-9679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "HEATHER",
        "middle_name": "MAE",
        "credential": "CNM, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP.AP.70012847-NP",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "202009554NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202009554NP-PP",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "ARNP.AP.70000379-CNM",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "OR",
            "license": "201400373RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN-BSN",
            "identifier": "201400373RN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.