Individual provider Active NPI

Vineka Heeramun

  • Psychiatry Physician
  • West Jordan, UT
National Provider Identifier
1740568914
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9603896 Issued in UT
Practice address
8846 S Redwood Rd Ste N202
West Jordan, UT 84088-4702
Phone
(801) 618-4303
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9603896 UT Primary
Internal Medicine Physician 207R00000X 9603896 UT
Psychiatry Physician 2084P0800X 125060306 IL
Internal Medicine Physician 207R00000X 125060306 IL

Addresses

Primary practice location

8846 S Redwood Rd Ste N202
West Jordan, UT 84088-4702

Mailing address

13894 S Bangerter Pkwy Ste 200
Draper, UT 84020-5320
Phone (801) 618-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605002692 UT Practitioner - Psychiatry 6406096460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8846 S Redwood Rd
Suite N202
West Jordan, UT 84088-4702
Phone (801) 618-4303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125060306ILMDInternal Medicine Physician
9603896UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Horizon Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Uhs of Provo Canyon, Inc. CurrentSince Apr 26, 2017 Accepting new patients
Teladoc Health Medical Group, P.a. Internal Medicine Current Accepting new patients

Locations

13894 S Bangerter Pkwy
Ste 200
Draper, UT 84020
Phone (208) 996-3519

1350 E 750 N
Orem, UT 84097
Phone (801) 229-1036

8846 S Redwood Rd
Ste N202
West Jordan, UT 84088
Phone (801) 618-4303

Interoperability endpoints

  • Direct secure messaging: vinekaheeramun@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1740568914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13894 S BANGERTER PKWY STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205320",
            "telephone_number": "801-618-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD STE N202",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884702",
            "telephone_number": "801-618-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERAMUN",
        "first_name": "VINEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "9603896",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "9603896",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125060306",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125060306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.