Individual provider Active NPI

Emmie Joanna Soles, ATC, LAT

  • Athletic Trainer
  • San Antonio, TX
National Provider Identifier
1780960336
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT2428 Issued in TX
Practice address
4301 Broadway
San Antonio, TX 78209-6318
Phone
(210) 829-6905
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT2428 TX Primary

Addresses

Primary practice location

4301 Broadway
San Antonio, TX 78209-6318

Mailing address

306 Norris Dr
Hallsville, TX 75650-5127

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

LicenseStateTypeSpecialty
AT2428TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word CurrentSince Nov 8, 2025 Accepting new patients
University of the Incarnate Word PastSince Feb 14, 2021 Accepting new patients

Locations

4301 Broadway
San Antonio, TX 78209
Phone (210) 829-3834

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1780960336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 NORRIS DR",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756505127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096318",
            "telephone_number": "210-829-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLES",
        "first_name": "EMMIE",
        "middle_name": "JOANNA",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.