Active NPI
Sharon Diane Feld, EDD, LAT, ATC
- Athletic Trainer
- Dubuque, IA
National Provider Identifier
1033573357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.003827
- Practice address
- 1450 Alta Vista St
Dubuque, IA 52001-4399 - Phone
- (563) 588-7211
- NPI assigned
- Apr 12, 2016
- 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 | 096.003827 | IL | Primary |
Addresses
Primary practice location
1450 Alta Vista St
Dubuque, IA 52001-4399
Mailing address
430 Lowell St
Dubuque, IA 52001-4440
Phone (515) 664-7471
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 |
|---|---|---|---|
| 096.003827 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1033573357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 LOWELL ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520014440",
"telephone_number": "515-664-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 ALTA VISTA ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520014399",
"telephone_number": "563-588-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELD",
"first_name": "SHARON",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "EDD, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.003827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.