Active NPI
Ursula Vollkommer-Haley, ATC
- Athletic Trainer
- Old Orchard Beach, ME
National Provider Identifier
1003809690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT53
- Practice address
- 40 E Emerson Cummings Blvd
Old Orchard Beach, ME 04064-1460 - Phone
- (207) 934-4461
- NPI assigned
- Aug 30, 2005
- Last updated
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT53 | ME | Primary |
Addresses
Primary practice location
40 E Emerson Cummings Blvd
Old Orchard Beach, ME 04064-1460
Mailing address
428 Sokokis TRL N
Limerick, ME 04048-3106
Phone (207) 831-6641
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT53 | ME | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1003809690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 SOKOKIS TRL N",
"city": "LIMERICK",
"state": "ME",
"postal_code": "040483106",
"telephone_number": "207-831-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 E EMERSON CUMMINGS BLVD",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040641460",
"telephone_number": "207-934-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLKOMMER-HALEY",
"first_name": "URSULA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ME",
"license": "AT53",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Orchard Beach, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.