Individual provider Active NPI

Chloe Jean Solis, MD, LCSW

  • Student in an Organized Health Care Education/Training Program
  • Tampa, FL
National Provider Identifier
1083128573
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
TRN36735 Issued in FL
Practice address
12780 Race Track Rd Ste 400
Tampa, FL 33626-1395
Phone
(813) 321-6262
Fax
(813) 443-8150
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW14823 FL
Adult Medicine Physician 207QA0505X ME175814 FL
Student in an Organized Health Care Education/Training Program 390200000X TRN36735 FL Primary

Addresses

Primary practice location

12780 Race Track Rd Ste 400
Tampa, FL 33626-1395

Mailing address

1881 SE Tiffany Ave Ste 102
Port St Lucie, FL 34952-7567
Phone (772) 398-7936

Other names 1

  • Chloe Alice Jean Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002332 FL Order and Referring Only - Family PracticePractitioner - Family Practice 1658630157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME175814FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Medical Specialists LLC Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Auto Injury EMS'S of Florida Single Specialty Past Accepting new patients

Locations

1881 SE Tiffany Ave
Ste 102
Port St Lucie, FL 34952
Phone (772) 398-7936

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

Interoperability endpoints

  • Direct secure messaging: chloe.jean@hca4.eclinicaldirectplus.com
  • Direct secure messaging: chloe.jean.1@17433.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1083128573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SE TIFFANY AVE STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527567",
            "telephone_number": "772-398-7936",
            "fax_number": "772-398-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 RACE TRACK RD STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261395",
            "telephone_number": "813-321-6262",
            "fax_number": "813-443-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "CHLOE",
        "middle_name": "JEAN",
        "credential": "MD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14823",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME175814",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN36735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "JEAN",
            "middle_name": "ALICE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.