Ingrid Cassandra Soleyn, RESPITE PROVIDER

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

473 Old Evans Rd Apt 710
Martinez, GA 30907-4334

Phone

(706) 210-8527

Fax

(706) 210-8527

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1144487216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 OLD EVANS RD APT 710",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074334",
            "telephone_number": "706-210-8527",
            "fax_number": "706-210-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 OLD EVANS RD APT 710",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074334",
            "telephone_number": "706-210-8527",
            "fax_number": "706-210-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEYN",
        "first_name": "INGRID",
        "middle_name": "CASSANDRA",
        "name_prefix": "Ms.",
        "credential": "RESPITE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicchoe N Smith
• Sydney Smith
• Tara Lyn Smith, RBT
• Tracey Jane Smith, RD, LD
• Harry Addison Snowdy Jr., MD
• Southern Breeze PCH
• Southern Eye Consultants, LLC
• Southerncare, Inc. (Heartland)
• Spark Wellness LLC
• Speech Masters, LLC

• Nurse's Aide in Martinez, GA
• Providers in Martinez, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.