Individual provider Active NPI

Lauren N Solliday-McRoy, LMT

  • Specialist
  • Butler, WI
National Provider Identifier
1124325410
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10213-146 Issued in WI
Practice address
12802 W Hampton Ave
Butler, WI 53007-1606
Phone
(262) 951-5695
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10213-146 WI Primary

Addresses

Primary practice location

12802 W Hampton Ave
Butler, WI 53007-1606

Mailing address

12802 W Hampton Ave
Butler, WI 53007-1606
Phone (262) 951-5695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10213-146WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Soulutions PastSince Nov 3, 2010 Accepting new patients

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1124325410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 W HAMPTON AVE",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530071606",
            "telephone_number": "262-951-5695",
            "fax_number": "262-794-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 W HAMPTON AVE",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530071606",
            "telephone_number": "262-951-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLIDAY-MCROY",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "10213-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.