Individual provider Active NPI

Vanessa Rene Heineck, LVN

  • Licensed Vocational Nurse
  • Sun Valley, CA
National Provider Identifier
1124630454
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
261164 Issued in CA
Practice address
8741 Laurel Canyon Blvd
Sun Valley, CA 91352-2919
Phone
(818) 768-5525
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 261164 CA Primary

Addresses

Primary practice location

8741 Laurel Canyon Blvd
Sun Valley, CA 91352-2919

Mailing address

8741 Laurel Canyon Blvd
Sun Valley, CA 91352-2919
Phone (818) 768-5525

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
261164CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1124630454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522919",
            "telephone_number": "818-768-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522919",
            "telephone_number": "818-768-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINECK",
        "first_name": "VANESSA",
        "middle_name": "RENE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "261164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.