Active NPI
Devin Soul, ATC
- Athletic Trainer
- Superior, WI
National Provider Identifier
1508303652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1479
- Practice address
- 605 21St Ave E
Superior, WI 54880-3638 - Phone
- (218) 393-2942
- NPI assigned
- Jan 27, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1479 | WI | Primary |
| Athletic Trainer | 2255A2300X | 2518 | MN |
Addresses
Primary practice location
605 21St Ave E
Superior, WI 54880-3638
Mailing address
605 21St Ave E
Superior, WI 54880-3638
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 |
|---|---|---|---|
| 1479 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1508303652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 21ST AVE E",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548803638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 21ST AVE E",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548803638",
"telephone_number": "218-393-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUL",
"first_name": "DEVIN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1479",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.