Active NPI
John Mueller
- Athletic Trainer
- Spokane Valley, WA
National Provider Identifier
1992184360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A1 60543430
- Practice address
- 1414 N Houk Rd
Suite 208
Spokane Valley, WA 99216-1097 - Phone
- (509) 755-5560
- Fax
- (509) 755-5561
- NPI assigned
- May 19, 2015
- Last updated
- May 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A1 60543430 | WA | Primary |
| Athletic Trainer | 2255A2300X | AT-502 | ID |
Addresses
Primary practice location
1414 N Houk Rd
Suite 208
Spokane Valley, WA 99216-1097
Mailing address
1414 N Houk Rd
Suite 208
Spokane Valley, WA 99216-1097
Phone (509) 755-5560
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 |
|---|---|---|---|
| AT-502 | ID | MD | Athletic Trainer |
| A1 60543430 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1992184360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 N HOUK RD",
"address_2": "SUITE 208",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161097",
"telephone_number": "509-755-5560",
"fax_number": "509-755-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 N HOUK RD",
"address_2": "SUITE 208",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161097",
"telephone_number": "509-755-5560",
"fax_number": "509-755-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A1 60543430",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ID",
"license": "AT-502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.