Todd A Souliere

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1140 Issued in MA

Practice address

160 Pearl St
Fitchburg State College
Fitchburg, MA 01420-2631

Phone

(978) 665-3774

Fax

(978) 665-3803

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Todd A Souliere Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285696997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SQUANTUM RD",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526646",
            "telephone_number": "603-532-6301",
            "fax_number": "978-665-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PEARL ST",
            "address_2": "FITCHBURG STATE COLLEGE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202631",
            "telephone_number": "978-665-3774",
            "fax_number": "978-665-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULIERE",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "SOULIERE",
            "middle_name": "A",
            "prefix": "MR.",
            "credential": "ATC, CSCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Athletic Trainer in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.