Active NPI
Jessica Marie Solis, FNP-C
- Family Nurse Practitioner
- Laredo, TX
National Provider Identifier
1245716638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1087986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 863192 | TX | MD | Registered Nurse |
| 1087986 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Community Health Center, Inc | Current | Accepting new patients | |
| Gateway Community Health Center, Inc | Current | Accepting new patients | |
| Clear Choice Physician Group | Current | Accepting new patients | |
| Clear Choice Physician Group | Current | 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.
-
- Emergency Medicine Physician
- Laredo, TX
- NPI 1780167296
-
- Multi-Specialty Clinic/Center
- Laredo, TX
- NPI 1417522657
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1720192792
-
- Federally Qualified Health Center (FQHC)
- Laredo, TX
- NPI 1891660759
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.