Active NPI
Noah Dahl
- Athletic Trainer
- La Crosse, WI
National Provider Identifier
1134683196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1820 Pine St
La Crosse, WI 54601-3750 - Phone
- (608) 785-6515
- NPI assigned
- Jan 24, 2019
- Last updated
- Jan 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
1820 Pine St
La Crosse, WI 54601-3750
Mailing address
1031 La Crosse Street
#204
La Crosse, WI 54601
Phone (507) 429-4110
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1134683196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 LA CROSSE STREET",
"address_2": "#204",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "507-429-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 PINE ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013750",
"telephone_number": "608-785-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.