Individual provider Active NPI

Branette Bean Solace, N.M.D.

  • Naturopath
  • McCall, ID
National Provider Identifier
1295882850
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NMD-0007 Issued in ID
Practice address
301 Colorado St.
McCall, ID 83638-0129
Phone
(208) 634-7289
Fax
(208) 634-1082
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001529 WA
Naturopath 175F00000X NMD-0007 ID Primary

Addresses

Primary practice location

301 Colorado St.
McCall, ID 83638-0129

Mailing address

PO Box 129
301 Colorado Street
McCall, ID 83638-0129
Phone (208) 634-7289

Other names 1

  • Dr. Branette Jo Solace Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NMD-0007IDMDNaturopath
NT00001529WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1295882850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "301 COLORADO STREET",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836380129",
            "telephone_number": "208-634-7289",
            "fax_number": "208-634-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COLORADO ST.",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836380129",
            "telephone_number": "208-634-7289",
            "fax_number": "208-634-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLACE",
        "first_name": "BRANETTE",
        "middle_name": "BEAN",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001529",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANETTE",
            "last_name": "SOLACE",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "N.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McCall, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.