Edward Heneveld, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G29319 Issued in CA

Practice address

10121 Pine Ave
Truckee, CA 96161-4835

Phone

(530) 582-3209

Fax

(530) 582-3201

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1235165861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2488",
            "city": "OLYMPIC VALLEY",
            "state": "CA",
            "postal_code": "961462488",
            "telephone_number": "530-583-1817",
            "fax_number": "530-583-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-582-3209",
            "fax_number": "530-582-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEVELD",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G29319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G293190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Hayes, MS, LMFT, LPCC
• Heart Connection Therapy- Marriage and Family Therapy Incorporated
• Heifetz & Palmer, MD'S, a Medical Corporation
• Laurence Jay Heifetz, MD
• Jamie Hendrix
• Consuelo Lizet Hernandez, MA, LPCC
• Hilda Belen Rojas Hernandez
• Brandey Pallares Herrera, MS, LMFT
• Allison Hester
• John Thomas Hibler, DO

• Emergency Medicine Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.