Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Larae Heavenston, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1700170388

Jennifer Larae Heavenston, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Stockton, California. Qualified in 2010, 16 years ago. Practices with Vinod C Bhan, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1805 N California St Ste 101A
Stockton, CA 95204-6032
Phone: (209) 948-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Harrison St, Oakland, CA 94612-3466 — (510) 625-6262

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4011 (CA)

Record details

NPI number1700170388
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vinod C Bhan — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Stockton