Active NPI
Jennifer Lynn Solis, FNP
- Family Nurse Practitioner
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704214986
- Practice address
- 904 Washington Ave
Suite 200
Holland, MI 49423-7724 - Phone
- (616) 392-8035
- NPI assigned
- Dec 13, 2009
- Last updated
- Aug 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704214986 | MI | Primary |
Addresses
Primary practice location
904 Washington Ave
Suite 200
Holland, MI 49423-7724
Mailing address
PO Box 30516
Dept: 4006
Lansing, MI 48909-8016
Phone (616) 394-3202
Other names 1
- Jennifer Kole
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
904 Washington Ave
210 Family Medicine South Washington
Holland, MI 49423-7724
Phone (616) 392-8035
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704214986 | MI | MD | Family Nurse Practitioner |
| 4704230837 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Past | Accepting new patients |
Locations
415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208
175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896
3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522
3235 N Wellness Dr
Ste 120A
Holland, MI 49424
Phone (616) 395-2833
577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190
577 Michigan Ave
Ste 104
Holland, MI 49423
Phone (616) 355-3984
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
904 Washington Ave
Ste 210
Holland, MI 49423
Phone (616) 392-8035
8300 Westpark Way
Zeeland, MI 49464
Phone (616) 748-5760
Interoperability endpoints
- jennifer.solis@holland.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- Neurology Physician
- Holland, MI
- NPI 1508095530
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
-
- Family Medicine Physician
- Holland, MI
- NPI 1174800437
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1316276884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT: 4006",
"city": "LANSING",
"state": "MI",
"postal_code": "489098016",
"telephone_number": "616-394-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 WASHINGTON AVE",
"address_2": "SUITE 200",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237724",
"telephone_number": "616-392-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-13",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704214986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "KOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.
- 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.