Active NPI
Felix Alexander Soleh, APRN, PMHNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11009930
- Practice address
- 1896 S 14TH St
Fernandina Beach, FL 32034-1999 - Phone
- (904) 310-9652
- Fax
- (904) 467-3143
- NPI assigned
- Aug 28, 2020
- Last updated
- Jul 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11009930 | FL | Primary |
Addresses
Primary practice location
1896 S 14TH St
Fernandina Beach, FL 32034-1999
Mailing address
3333 W 20TH St
Jacksonville, FL 32254-1703
Phone (904) 695-9145
Other practice location 1
3333 W 20th St
Jacksonville, FL 32254-1703
Phone (904) 695-9145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 W 20TH St
Jacksonville, FL 32254-1703
Phone (904) 695-9145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009930 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Resource Center Inc | Current | Accepting new patients | |
| Mental Health Center of Jacksonville, Inc. | Past | Accepting new patients |
Locations
11820 Beach Blvd
Jacksonville, FL 32246
Phone (904) 642-9100
3333 W 20th St
Jacksonville, FL 32254
Phone (904) 384-2364
4427 Emerson St
Ste 5
Jacksonville, FL 32207
Phone (904) 745-0042
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Jacksonville, FL
- NPI 1851407365
-
- Community Health Clinic/Center
- Jacksonville, FL
- NPI 1366558132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1073126140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 W 20TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322541703",
"telephone_number": "904-695-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1896 S 14TH ST",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320341999",
"telephone_number": "904-310-9652",
"fax_number": "904-467-3143"
}
],
"practiceLocations": [
{
"address_1": "3333 W 20th St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322541703",
"country_code": "US",
"telephone_number": "904-695-9145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLEH",
"first_name": "FELIX",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "APRN, PMHNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11009930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.