NPIMap

Organization Active NPI

Heritage Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1770464349
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HERITAGE WELLNESS, LLC
Practice address
450 Alaskan Way S
Seattle, WA 98104-3387
Phone
(786) 442-5021
Fax
(786) 921-0041
NPI assigned
Sep 10, 2025
Organization subpart
Yes
Parent organization
HERITAGE WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Sonia Choute-EdouardNPI 1396347217
Title
Ceo
Phone
(786) 333-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

450 Alaskan Way S
Seattle, WA 98104-3387

Mailing address

13100 W Dixie Hwy
North Miami, FL 33161-4131
Phone (786) 442-5021

National Provider Directory

National Provider Directory
Tax ID family
Heritage Wellness LLC2 organizations share this tax ID, including this one
Part of
Heritage Wellness LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13100 W Dixie Hwy
North Miami, FL 33161
Phone (786) 228-6612

450 Alaskan Way S
Seattle, WA 98104
Phone (763) 913-7863

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1770464349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614131",
            "telephone_number": "786-442-5021",
            "fax_number": "786-921-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ALASKAN WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043387",
            "telephone_number": "786-442-5021",
            "fax_number": "786-921-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE WELLNESS, LLC",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "CHOUTE-EDOUARD",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-333-7017"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.