Individual provider Active NPI

Katdidia M Soliz, PA-C

  • Physician Assistant
  • Alice, TX
National Provider Identifier
1073854360
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08209 Issued in TX
Practice address
230 S Gulf St
Alice, TX 78332-4310
Phone
(361) 664-0303
Fax
(866) 845-0933
NPI assigned
Mar 12, 2013
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08209 TX Primary

Addresses

Primary practice location

230 S Gulf St
Alice, TX 78332-4310

Mailing address

PO Box 850
Alice, TX 78333-0850
Phone (361) 664-0303

Other practice location 1

2701 Morgan Avenue
Ste 400
Corpus Christi, TX 78405-1848
Phone (361) 664-0303

Other practice location 2

5710 Esplanade Drive
Corpus Christi, TX 78414-4165
Phone (361) 664-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130507000198 TX Practitioner - Physician Assistant 5991942161 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Hospitalist PLLCGroup PAC ID 0042685695, 6 clinicians

Practice addresses (Care Compare)

2201 Cleo St
Suite B
Corpus Christi, TX 78405-1914
Phone (361) 299-0125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medical Team PLLC Physician Assistant Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1073854360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783330850",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S GULF ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324310",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Morgan Avenue",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051848",
            "country_code": "US",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Esplanade Drive",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144165",
            "country_code": "US",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIZ",
        "first_name": "KATDIDIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.