Individual provider Active NPI

Samuel Alan Heling, LAT

  • Athletic Trainer
  • De Pere, WI
National Provider Identifier
1932066388
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3326-39 Issued in WI
Practice address
212 Crestview LN
De Pere, WI 54115-3448
Phone
(720) 626-6871
Fax
(720) 626-6871
NPI assigned
Jan 7, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 3326-39 WI Primary

Addresses

Primary practice location

212 Crestview LN
De Pere, WI 54115-3448

Mailing address

212 Crestview LN
De Pere, WI 54115-3448
Phone (720) 626-6871

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
3326-39WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1932066388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CRESTVIEW LN",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153448",
            "telephone_number": "720-626-6871",
            "fax_number": "720-626-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CRESTVIEW LN",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153448",
            "telephone_number": "720-626-6871",
            "fax_number": "720-626-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELING",
        "first_name": "SAMUEL",
        "middle_name": "ALAN",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "3326-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.