Individual provider Active NPI

Susan G. Solley, CNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1346389152
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04082 Issued in LA
Practice address
1501 Stubbs Ave
Monroe, LA 71201-5627
Phone
(318) 816-5116
Fax
(318) 656-3176
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN096482 LA
Family Nurse Practitioner 363LF0000X AP04082 LA Primary

Addresses

Primary practice location

1501 Stubbs Ave
Monroe, LA 71201-5627

Mailing address

1501 Stubbs Ave
Monroe, LA 71201-5627
Phone (318) 816-5116

Other identifiers 1

IdentifierTypeStateIssuer
1142557MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100813000302 LA Practitioner - Nurse Practitioner 1557495413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Medical and Psychiatric Services LLCGroup PAC ID 8022294776, 3 clinicians

Practice addresses (Care Compare)

1501 Stubbs Ave
Monroe, LA 71201-5627
Phone (318) 816-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN096482LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brfhh Monroe LLC CurrentSince Jan 1, 2015 Accepting new patients
Therapeutic Medical & Psychiatric Services LLC. Family CurrentSince Nov 24, 2024 Accepting new patients

Locations

1501 Stubbs Ave
Monroe, LA 71201
Phone (318) 396-9712

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1431 Dalzell St
Shreveport, LA 71103

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

Organizations & group practices 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346389152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015627",
            "telephone_number": "318-816-5116",
            "fax_number": "318-330-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015627",
            "telephone_number": "318-816-5116",
            "fax_number": "318-656-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLEY",
        "first_name": "SUSAN",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN096482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142557",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.