NPIMap

Organization Active NPI

Heidi a Herold, MD Inc

Doing business as Heidi Herold,M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1326437492
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A86057 Issued in CA
Legal business name
HEIDI A HEROLD, MD INC
Doing business as
Heidi Herold,M.D.
Practice address
2143 Airpark Dr
Redding, CA 96001-2447
Phone
(530) 241-7477
Fax
(530) 241-7877
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mrs. Susie J Jensen
Title
Office Manager
Phone
(530) 241-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A86057 CA Primary

Addresses

Primary practice location

2143 Airpark Dr
Redding, CA 96001-2447

Mailing address

2143 Airpark Dr
Redding, CA 96001-2447
Phone (530) 241-7477

Other names 1

  • Heidi Herold,M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

2143 Airpark Dr
Redding, CA 96001
Phone (530) 241-7477

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1326437492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012447",
            "telephone_number": "530-241-7477",
            "fax_number": "530-241-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012447",
            "telephone_number": "530-241-7477",
            "fax_number": "530-241-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI A HEROLD, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-241-7477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heidi Herold,M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.