DR. JENNIFER ANNE HEIDMANN (NPI# 1790881332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790881332 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANNE HEIDMANN |
| Credential | MD |
| Practice Address |
1910 California St Pace Humboldt Resource Center Eureka CA 95501 |
| Mailing Address |
Po Box 6860 Eureka CA 95502-6860 |
| Practice Telephone | 7074439747 |
| Practice Fax Number | 7074433204 |
| Mailing Telephone | 7074433384 |
| Mailing Fax Number | 7074433204 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
73714 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A727140 | 05 |
| Street Address |
1910 CALIFORNIA ST PACE HUMBOLDT RESOURCE CENTER |
| City | EUREKA |
| State | CA |
| Zip Code | 95501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360892 | Thea Jeanne Rowan | Social Worker | 1910 California St, Eureka, CA 95501-2899 | 2016-08-09 |
| 1710277124 | Samantha Day | Counselor | 1910 California St, Eureka, CA 95501-2899 | 2011-04-19 |
| 1063663375 | Livia Lorena Ribeiro | Case Manager/Care Coordinator | 1910 California St, Eureka, CA 95501-2870 | 2008-10-06 |
| 1497905582 | Hanell Thompson | Social Worker | 1910 California St, Eureka, CA 95501-2870 | 2008-09-24 |
| 1356599278 | Humboldt Senior Resource Center | Case Management | 1910 California St, Eureka, CA 95501-2870 | 2008-09-04 |
| 1760667497 | Linda Alm | Registered Nurse | 1910 California St, Eureka, CA 95501-2870 | 2007-12-31 |
| 1508049792 | Kerri Ann Koontz | Case Manager/Care Coordinator | 1910 California St, Eureka, CA 95501-2870 | 2007-12-11 |
| 1225211410 | Sharon Lynn Zacher | Case Manager/Care Coordinator | 1910 California St, Eureka, CA 95001-2870 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.