Trevor Patrick Solis, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60722911 Issued in WA

Practice address

800 N Medcalf LN
Montesano, WA 98563-1318

Phone

(360) 249-2273

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Penn Comprehensive Health ServicesGroup PAC ID 0446245880, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Penn Comprehensive Health Services

  dba Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Wellsboro, PA
  • NPI 1912093576
  Medicare reassignment Care Compare group NPD
• North Penn Comprehensive Health Services

  dba Sullivan County Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Laporte, PA
  • NPI 1093520587
  NPD
• North Penn Comprehensive Health Services

  dba Westfield Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Westfield, PA
  • NPI 1366524241
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1245776046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CHURCH ST",
            "city": "GENESEE",
            "state": "PA",
            "postal_code": "169238764",
            "telephone_number": "814-228-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MEDCALF LN",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985631318",
            "telephone_number": "360-249-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "TREVOR",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60722911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Schaeffer, OT
• Robert William Schimpf, MD
• Clara Chon Shin, M.D.
• Yong Ki Shin, M.D.
• Elizabeth Short, LMP
• Lynda Brady Stafford, DO
• Jennifer Star Steadman
• Perry J Straus, COTA/L
• Joann Surratt, LMT
• Erin Renae Swint, FNP-C

• Speech-Language Pathologist in Montesano, WA
• Providers in Montesano, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.