Active NPI
Samantha Hainline, ATC
- Athletic Trainer
- Merrillville, IN
National Provider Identifier
1184055196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002074A
- Practice address
- 2055 Arrowhead Dr
Apt 3B
Merrillville, IN 46410-5189 - Phone
- (309) 502-9117
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 36002074A | IN | Primary |
Addresses
Primary practice location
2055 Arrowhead Dr
Apt 3B
Merrillville, IN 46410-5189
Mailing address
2055 Arrowhead Dr
Apt 3B
Merrillville, IN 46410-5189
Phone (309) 502-9117
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 |
|---|---|---|---|
| 36002074A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1184055196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 ARROWHEAD DR",
"address_2": "APT 3B",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105189",
"telephone_number": "309-502-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 ARROWHEAD DR",
"address_2": "APT 3B",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105189",
"telephone_number": "309-502-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINLINE",
"first_name": "SAMANTHA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002074A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.