Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Liedl, PA-C

Individual provider Physician Assistant · NPI 1710364526

Heather Liedl, PA-C is a Physician Assistant in Seattle, Washington. Qualified in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

310 15th Ave E
Seattle, WA 98112-5103
Phone: (206) 326-3000
Fax: (877) 515-2975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 298 S Yonge St, Ormond Beach, FL 32174-6264 — (386) 274-7840
  • 1901 S Union Ave, Tacoma, WA 98405-1702 — (253) 459-6352

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60794247 (WA)

Record details

NPI number1710364526
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 30, 2015
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address700 Broadway E Unit 117, Seattle, WA 98102-7600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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