Individual provider Active NPI

Kristin Soehl, DC

  • Chiropractor
  • Augusta, NJ
National Provider Identifier
1023193471
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00616600 Issued in NJ
Practice address
47 US Highway 206 Ste 3
Augusta, NJ 07822-2047
Phone
(973) 300-0330
Fax
(973) 300-0130
NPI assigned
Oct 26, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00616600 NJ Primary

Addresses

Primary practice location

47 US Highway 206 Ste 3
Augusta, NJ 07822-2047

Mailing address

47 US Highway 206 Ste 3
Augusta, NJ 07822-2047
Phone (973) 300-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000268 NJ Practitioner - Chiropractic 5890696710 Practice locations: Augusta, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 US Hwy 206
Suite 3
Augusta, NJ 07822-2047
Phone (973) 300-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00616600NJMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1023193471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 US HIGHWAY 206 STE 3",
            "city": "AUGUSTA",
            "state": "NJ",
            "postal_code": "078222047",
            "telephone_number": "973-300-0330",
            "fax_number": "973-300-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 US HIGHWAY 206 STE 3",
            "city": "AUGUSTA",
            "state": "NJ",
            "postal_code": "078222047",
            "telephone_number": "973-300-0330",
            "fax_number": "973-300-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEHL",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00616600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.