Individual provider Active NPI

Taylor Marie Hoagland, MSAT, ATC, LAT

  • Athletic Trainer
  • Somerville, MA
National Provider Identifier
1114576964
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3630 Issued in MA
Practice address
45 Cherry St Apt 2
Somerville, MA 02144-3280
Phone
(413) 887-1651
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X S48958720 MA
Athletic Trainer 2255A2300X 3630 MA Primary

Addresses

Primary practice location

45 Cherry St Apt 2
Somerville, MA 02144-3280

Mailing address

45 Cherry St Apt 2
Somerville, MA 02144-3280
Phone (413) 887-1651

Other practice location 1

315 Turnpike St
North Andover, MA 01845-5806
Phone (413) 887-1651

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

LicenseStateTypeSpecialty
3630MAMDAthletic Trainer
S48958720MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1114576964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CHERRY ST APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443280",
            "telephone_number": "413-887-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CHERRY ST APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443280",
            "telephone_number": "413-887-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Turnpike St",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455806",
            "country_code": "US",
            "telephone_number": "413-887-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAGLAND",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "MSAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "S48958720",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "3630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.