Active NPI
Samantha Lynn Houle, ATC
- Athletic Trainer
- West Palm Beach, FL
National Provider Identifier
1588035539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL4251
- Practice address
- 4878 Sand Stone LN
Apt 108
West Palm Beach, FL 33417-8035 - Phone
- (715) 410-0880
- NPI assigned
- Oct 16, 2015
- 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 | AL4251 | FL | Primary |
Addresses
Primary practice location
4878 Sand Stone LN
Apt 108
West Palm Beach, FL 33417-8035
Mailing address
4878 Sand Stone LN
Apt 108
West Palm Beach, FL 33417-8035
Phone (715) 410-0880
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 |
|---|---|---|---|
| AL4251 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1588035539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4878 SAND STONE LN",
"address_2": "APT 108",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334178035",
"telephone_number": "715-410-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4878 SAND STONE LN",
"address_2": "APT 108",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334178035",
"telephone_number": "715-410-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULE",
"first_name": "SAMANTHA",
"middle_name": "LYNN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.