Emily Rose Hedberg I, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

95258067 Issued in CA

Practice address

1609 Hornblend St
San Diego, CA 92109-4461

Phone

(206) 747-4967

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1669170700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083538",
            "telephone_number": "619-881-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 HORNBLEND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094461",
            "telephone_number": "206-747-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBERG",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95258067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Elizabeth Hecker, NP
• Kay Hecker
• Mary Lisa Hecker, OTR
• Patric Heckler
• Keley Lynn Heckman, LCSW
• Jennifer Hedges
• David Hedley, SUD CERTIFIED
• Amy J Hedlund, PHARMD
• Rebekah Hedman
• Teri-Lee Hedman, LCSW

• Case Management Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.