Individual provider Active NPI

Hayley Spoelstra, ATC, LAT

  • Athletic Trainer
  • North Liberty, IA
National Provider Identifier
1285273888
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
118 N Copeland LN
North Liberty, IA 52317-9359
Phone
(641) 295-5151
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

118 N Copeland LN
North Liberty, IA 52317-9359

Mailing address

118 N Copeland LN
North Liberty, IA 52317-9359

Other identifiers 1

IdentifierTypeStateIssuer
2000035139OtherATHLETIC TRAINER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hspoelstra@perfther.com

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1285273888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N COPELAND LN",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N COPELAND LN",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179359",
            "telephone_number": "641-295-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOELSTRA",
        "first_name": "HAYLEY",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "2000035139",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hspoelstra@perfther.com",
            "affiliation": "N",
            "address_1": "118 N Copeland Ln",
            "city": "North Liberty",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523179359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.