Active NPI
Laurie Rene Heinrich, LVN
- Licensed Vocational Nurse
- Denair, CA
National Provider Identifier
1689793945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN79041
- Practice address
- 3113 Sandling Ave
Denair, CA 95316-8569 - Phone
- (209) 668-3274
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN79041 | CA | Primary |
Addresses
Primary practice location
3113 Sandling Ave
Denair, CA 95316-8569
Mailing address
3113 Sandling Ave
Denair, CA 95316-8569
Phone (209) 668-3274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EPS006010 | Other | CA | MEDICAL PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN79041 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689793945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 SANDLING AVE",
"city": "DENAIR",
"state": "CA",
"postal_code": "953168569",
"telephone_number": "209-668-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 SANDLING AVE",
"city": "DENAIR",
"state": "CA",
"postal_code": "953168569",
"telephone_number": "209-668-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINRICH",
"first_name": "LAURIE",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN79041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "EPS006010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.