Individual provider Active NPI

Mayra Alejandra Solis, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1184312696
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
291592 Issued in AZ
Practice address
650 W Maryland Ave Ste 1
Phoenix, AZ 85013-1399
Phone
(602) 240-2401
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F04230252 AZ
Family Nurse Practitioner 363LF0000X 291592 AZ Primary

Addresses

Primary practice location

650 W Maryland Ave Ste 1
Phoenix, AZ 85013-1399

Mailing address

PO Box 748860
Atlanta, GA 30374
Phone (602) 240-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606003261 AZ Practitioner - Nurse Practitioner 2264899236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Care Arizona, LLCGroup PAC ID 6103215322, 36 clinicians

Practice addresses (Care Compare)

4747 N 7TH St
Suite 150
Phoenix, AZ 85014-3677
Phone (602) 240-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F04230252AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Family Wellness CurrentSince Jul 28, 2024 Accepting new patients
Women'S Care Arizona, LLC CurrentSince May 30, 2023 Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

3530 S Val Vista Dr
Ste 202
Gilbert, AZ 85297
Phone (480) 633-6868

650 W Maryland Ave
Ste 1
Phoenix, AZ 85013
Phone (602) 240-2401

4747 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (602) 240-2401

640 W Maryland Ave
Ste 4
Phoenix, AZ 85013
Phone (602) 795-8122

Interoperability endpoints

  • Direct secure messaging: mayra.solis.1@31100.direct.athenahealth.com

Organizations & group practices 2

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1184312696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30374",
            "telephone_number": "602-240-2401",
            "fax_number": "602-792-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W MARYLAND AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131399",
            "telephone_number": "602-240-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F04230252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "291592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.