Individual provider Active NPI

Solange Lum Mforbi

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1215698659
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1064483 Issued in TX
Practice address
2701 W Oak St Ste 100
Denton, TX 76201-2328
Phone
(940) 220-8302
Fax
(940) 304-8777
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1064483 TX
Family Nurse Practitioner 363LF0000X 1064483 TX Primary

Addresses

Primary practice location

2701 W Oak St Ste 100
Denton, TX 76201-2328

Mailing address

833 Chaplin Dr
Justin, TX 76247-2284
Phone (405) 885-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240312002403 TX Practitioner - Nurse Practitioner 1153767280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1064483TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blues Family Practice LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2701 W Oak St
Ste 100
Denton, TX 76201
Phone (940) 220-8302

2701 W Oak St
Ste 101
Denton, TX 76201
Phone (940) 220-8302

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1215698659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHAPLIN DR",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762472284",
            "telephone_number": "405-885-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAK ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012328",
            "telephone_number": "940-220-8302",
            "fax_number": "940-304-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MFORBI",
        "first_name": "SOLANGE",
        "middle_name": "LUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1064483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1064483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.