Solomon Girma Weldesenebet

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4209 Veiled Falls Drive
Pflugerville, TX 78660

Phone

(512) 363-2093

NPI assigned

Jun 12, 2017

Sex

Male

Sole proprietor

Yes

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.

• Atx Destiny Transportaion LLC

  • Non-emergency Medical Transport (VAN)
  • Pflugerville, TX
  • NPI 1730601733
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2017.

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1154850246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 VEILED FALLS DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 VEILED FALLS DRIVE",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-363-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDESENEBET",
        "first_name": "SOLOMON",
        "middle_name": "GIRMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrick Watkins, M.D.
• Sarah Weaver, LPC
• Caroline Webber
• Diana Weeks
• Wei-Ann Lin, M.D. P.a.
• Brenda Joy Weldy, DPM
• Wellness Transportation
• Wells Branch Family Dental PLLC
• Jordan Demetrius Wells Sr.
• Anise West

• All providers in Pflugerville, TX
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.