Individual provider Active NPI

Janet M Soderquist

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Manchester, NH
National Provider Identifier
1669937181
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X
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

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3079514MedicaidNH
METPID002735MedicaidME
110066943AMedicaidMA

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.

Verify at the official NPI Registry.