Individual provider Active NPI

Junelle Gay Heldenbrand, LVN

  • Licensed Vocational Nurse
  • Tyler, TX
National Provider Identifier
1982105979
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
226452 Issued in TX
Practice address
1701 Yosemite Dr
Tyler, TX 75703-2052
Phone
(936) 554-5866
NPI assigned
Feb 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 226452 TX Primary

Addresses

Primary practice location

1701 Yosemite Dr
Tyler, TX 75703-2052

Mailing address

1701 Yosemite Dr
Tyler, TX 75703-2052
Phone (936) 554-5866

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

LicenseStateTypeSpecialty
226452TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1982105979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 YOSEMITE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032052",
            "telephone_number": "936-554-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 YOSEMITE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032052",
            "telephone_number": "936-554-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDENBRAND",
        "first_name": "JUNELLE",
        "middle_name": "GAY",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "226452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; 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.