Active NPI
Carly Solomon, AGACNP
- Adult Health Nurse Practitioner
- Metairie, LA
National Provider Identifier
1205313392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP10128
- Practice address
- 4315 Houma Blvd Ste 500
Metairie, LA 70006-2942 - Phone
- (504) 889-5250
- Fax
- (504) 503-5201
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP10128 | LA | Primary |
Addresses
Primary practice location
4315 Houma Blvd Ste 500
Metairie, LA 70006-2942
Mailing address
4300 Houma Blvd Ste 204
Metairie, LA 70006-2924
Phone (504) 503-7000
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10128 | LA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1205313392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HOUMA BLVD STE 204",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062924",
"telephone_number": "504-503-7000",
"fax_number": "504-503-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 HOUMA BLVD STE 500",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062942",
"telephone_number": "504-889-5250",
"fax_number": "504-503-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "CARLY",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "AP10128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.