Active NPI
Janet M Soderquist
- Assistive Technology Practitioner Rehabilitation Counselor
- Manchester, NH
National Provider Identifier
1669937181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- Practice address
- 1015 Candia Rd
Manchester, NH 03109-5207 - Phone
- (603) 645-5200
- Fax
- (603) 645-6098
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | MA | Primary |
Addresses
Primary practice location
1015 Candia Rd
Manchester, NH 03109-5207
Mailing address
1015 Candia Rd
Manchester, NH 03109-5207
Phone (603) 645-5200
Other practice location 1
26 Parkridge Rd
Haverhill, MA 01835-8514
Phone (978) 914-6684
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079514 | Medicaid | NH | |
| METPID002735 | Medicaid | ME | |
| 110066943A | Medicaid | MA |
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": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1669937181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 CANDIA RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031095207",
"telephone_number": "603-645-5200",
"fax_number": "603-645-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CANDIA RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031095207",
"telephone_number": "603-645-5200",
"fax_number": "603-645-6098"
}
],
"practiceLocations": [
{
"address_1": "26 Parkridge Rd",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "018358514",
"country_code": "US",
"telephone_number": "978-914-6684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SODERQUIST",
"first_name": "JANET",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079514",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "METPID002735",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110066943A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.