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MR. JEREMY SCOTT VANDEHURST L-AT
NPI 1861027625
Emergency Medicine - Sports Medicine in South Lake Tahoe, CA

Active since March 11, 2020
2170 SOUTH AVE # B, SOUTH LAKE TAHOE, CA 96150(530) 208-8253 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeremy Scott Vandehurst L-at NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEREMY SCOTT VANDEHURST L-AT (NPI 1861027625) is an individual sports medicine provider in South Lake Tahoe, California, licensed in Nevada (0506428) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1861027625
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameMR. JEREMY SCOTT VANDEHURSTCredential: L-AT
Location Address2170 SOUTH AVE # BSouth Lake Tahoe, CA 96150-7008
Mailing Address2795 Springwood DrSouth Lake Tahoe, CA 96150-2815 · (530) 208-8253
Phone(530) 208-8253
Sole ProprietorYes
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1861027625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in NV · 0506428
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedHealth EducatorTaxonomy 174H00000X · License 0506428 (NV)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 0506428 (NV)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0506428 (NV)
Also ListedKinesiotherapistTaxonomy 226300000X · License 0506428 (NV)
Also ListedPrevention ProfessionalTaxonomy 405300000X · License 0506428 (NV)
2170 SOUTH AVE # B, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANDI DICKIE
Physical Therapist (Orthopedic)
2170 SOUTH AVE # B
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 539-6675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Vandehurst's NPI number?

The NPI number for Jeremy Vandehurst is 1861027625. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Jeremy Vandehurst located?

Jeremy Vandehurst practices at 2170 South Ave # B, South Lake Tahoe, CA 96150. The listed phone number is (530) 208-8253.

What is Jeremy Vandehurst's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

When was this NPI record last updated?

The NPPES record for Jeremy Vandehurst was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.