Individual provider Active NPI

Marife Solomon

  • Family Nurse Practitioner
  • Kapolei, HI
National Provider Identifier
1083222517
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3958 Issued in HI
Practice address
840 Kakala St Apt 405
Kapolei, HI 96707-4608
Phone
(520) 982-7587
NPI assigned
Jul 21, 2020
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3958 HI Primary

Addresses

Primary practice location

840 Kakala St Apt 405
Kapolei, HI 96707-4608

Mailing address

840 Kakala St Apt 405
Kapolei, HI 96707-4608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20241127001366 HI Practitioner - Nurse Practitioner 0648634436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3958HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kapolei Primary Care Clinic CurrentSince Mar 12, 2023 Accepting new patients

Locations

91-710 Farrington Hwy
Ste A120
Kapolei, HI 96707
Phone (520) 982-7587

Interoperability endpoints

  • Direct secure messaging: marife.solomon@792647926284292.direct.elationemr.com

Organizations & group practices 1

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1083222517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KAKALA ST APT 405",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KAKALA ST APT 405",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074608",
            "telephone_number": "520-982-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MARIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.