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Active NPI 1073204558 Individual Practitioner Female Practitioner

Taiyler Jade Soderquist , ATC, NREMT

Specialist/Technologist - Athletic Trainer • Moscow, ID

Professional Overview & Biography Verified Profile Summary

Taiyler Soderquist, ATC, NREMT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Moscow, ID. Practice services are available at 875 PERIMETER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

875 Perimeter Dr

Moscow, ID 838449803

Telephone 2088856111

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Moscow, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
93 Specialists

Practicing in Moscow, ID (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-09
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Vanessa Padilla

Student in an Organized Health Care Education/Training Program

NPI 1043196108
Hunter Connolley

Specialist/Technologist - Athletic Trainer

NPI 1053050732
Brooke Lopez

Student in an Organized Health Care Education/Training Program

NPI 1053151159
Nasiha Iftiaz

Student in an Organized Health Care Education/Training Program

NPI 1053243964
Isabella Hernandez

Student in an Organized Health Care Education/Training Program

NPI 1083238679
Yi Fan

Specialist/Technologist - Athletic Trainer

NPI 1114591898

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated June 09, 2025

Recorded as TAIYLER SODERQUIST, ATC, NREMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2025

Emergency Medical Technician, Basic

NPI Profile Active May 16, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2023

Registered at 875 PERIMETER DR, MOSCOW, ID 838449803 (Tel: 2088856111)

📍
Updated Business Mailing Address May 16, 2023

Registered at 7628 N APPOMATTOX CT, SPOKANE, WA 992085667 (Tel: 5097890027)

👤
Provider Name / Credentials Updated May 16, 2023

Recorded as TAIYLER SODERQUIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 16, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073204558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2023
Last Update: June 09, 2025
Sole Proprietor: No

Mailing Address

7628 N Appomattox Ct

Spokane, WA 992085667

Phone: 5097890027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.