Active NPI
Grace Underhill Solms, CPNP-PC
- Pediatric Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1114492329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 225954
- Practice address
- 2719 SE I St
Bentonville, AR 72712-3996 - Phone
- (479) 273-5437
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN281628 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | 0024181211 | VA | |
| Pediatric Nurse Practitioner | 363LP0200X | 225954 | AR | Primary |
Addresses
Primary practice location
2719 SE I St
Bentonville, AR 72712-3996
Mailing address
2719 SE I St
Bentonville, AR 72712-3996
Phone (479) 273-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225954 | AR | MD | Pediatric Nurse Practitioner |
| RN281628 | GA | MD | Pediatric Nurse Practitioner |
| 0024181211 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Covenant Care Pediatrics PC | Past | Accepting new patients | |
| Bentonville Pediatrics | Past | Accepting new patients | |
| Northwest Arkansas Immunization | Past | Accepting new patients |
Locations
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1947 Medical Ave
Harrisonburg, VA 22801
Phone (540) 434-3004
9982 Spotswood Trl
McGaheysville, VA 22840
Phone (540) 437-3740
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Pediatrics Physician
- Bentonville, AR
- NPI 1356319164
-
- Pediatrics Physician
- Bentonville, AR
- NPI 1386944791
-
- Pediatrics Physician
- Stockbridge, GA
- NPI 1902941503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1114492329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 SE I ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123996",
"telephone_number": "479-273-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 SE I ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123996",
"telephone_number": "479-273-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLMS",
"first_name": "GRACE",
"middle_name": "UNDERHILL",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN281628",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024181211",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "225954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.