NPI age
3 years
Enumerated 2023-05-16
● Active
Type 1 · Individual
Taiyler Jade Soderquist, ATC, NREMT
Soderquist is 1 of 94 specialist/technologist providers in Moscow and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-05Enumerated in NPPES
2023
2026
Where they practice
Practice location
875 Perimeter Dr
Moscow, ID 838449803
Mailing address
7628 N Appomattox Ct
Spokane, WA 992085667
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
-
Emergency Medical Technician, BasicA Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Practice context
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.