Individual provider Active NPI

Jessica Marie Solis, FNP-C

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1245716638
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1087986 Issued in TX
Practice address
7105 N Bartlett Ave
Laredo, TX 78041-6465
Phone
(956) 625-2744
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 863192 TX
Home Health Registered Nurse 163WH0200X 863192 TX
Family Nurse Practitioner 363LF0000X 1087986 TX Primary

Addresses

Primary practice location

7105 N Bartlett Ave
Laredo, TX 78041-6465

Mailing address

7105 N Bartlett Ave
Laredo, TX 78041-6465
Phone (956) 625-2744

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
I20221103003121 TX Practitioner - Nurse Practitioner 1254708258 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
863192TXMDRegistered Nurse
1087986TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Health Center, Inc CurrentSince Jul 5, 2023 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Jul 5, 2023 Accepting new patients
Clear Choice Physician Group Current Accepting new patients
Clear Choice Physician Group CurrentSince Oct 1, 2022 Accepting new patients

Locations

208 Shiloh Dr
Ste 1
Laredo, TX 78045
Phone (956) 718-6281

7105 N Bartlett Ave
Ste 101
Laredo, TX 78041
Phone (956) 242-4225

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

6406 McPherson Rd
Laredo, TX 78041
Phone (956) 319-8863

Organizations & group practices 4

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1245716638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 N BARTLETT AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416465",
            "telephone_number": "956-625-2744",
            "fax_number": "956-539-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N BARTLETT AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416465",
            "telephone_number": "956-625-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "863192",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "863192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1087986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.