Active NPI
Daniel Solomon, RD/LDN
- Registered Dietitian
- St Petersburg, FL
National Provider Identifier
1174316566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4686
- Practice address
- 11675 Dr Martin Luther King Jr St N Apt 8
St Petersburg, FL 33716-2323 - Phone
- (813) 489-9151
- NPI assigned
- May 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4686 | FL | Primary |
Addresses
Primary practice location
11675 Dr Martin Luther King Jr St N Apt 8
St Petersburg, FL 33716-2323
Mailing address
PO Box 21445
St Petersburg, FL 33742-1445
Phone (813) 489-9151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4686 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1174316566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21445",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337421445",
"telephone_number": "813-489-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11675 DR MARTIN LUTHER KING JR ST N APT 8",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337162323",
"telephone_number": "813-489-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "DANIEL",
"credential": "RD/LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "4686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.