Jeremy Vandehurst, L-AT
Jeremy Vandehurst, L-AT is a Sports Medicine (Emergency Medicine) Physician in South Lake Tahoe, CA, registered under NPI 1861027625. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2170 SOUTH AVE # B, South Lake Tahoe, CA 96150. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0506428 | NV | Sports Medicine (Emergency Medicine)… primary |
| 0506428 | NV | Health Educator |
| 0506428 | NV | Sports Medicine (Orthopaedic Surgery)… |
| 0506428 | NV | Physical Medicine & Rehabilitation… |
| 0506428 | NV | Kinesiotherapist |
| 0506428 | NV | Prevention Professional |
This provider holds licence 0506428 issued in NV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Sports Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207PS0010X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician Sports Medicine | 0506428 | NV | primary |
| 174H00000X | Health Educator | 0506428 | NV | |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine | 0506428 | NV | |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0506428 | NV | |
| 226300000X | Kinesiotherapist | 0506428 | NV | |
| 405300000X | Prevention Professional | 0506428 | NV |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1861027625 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 11, 2020 |
| Last updated | Mar 11, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | L-AT |
| Practice address |
2170 SOUTH AVE # B South Lake Tahoe, CA 96150 (530) 208-8253 |
| Mailing address |
2795 SPRINGWOOD DR South Lake Tahoe, CA 96150 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 0 | 2 | 7 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 0 | 2 | 5 | 6 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.