Mary Sidwell Solomon, R.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DT01529 Issued in TX

Practice address

3605 Executive Dr
San Angelo, TX 76904-6884

Phone

(325) 224-5229

Fax

(325) 224-5901

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Sidwell Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1346408390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 S MONROE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014420",
            "telephone_number": "325-763-8979",
            "fax_number": "325-947-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046884",
            "telephone_number": "325-224-5229",
            "fax_number": "325-224-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MARY",
        "middle_name": "SIDWELL",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT01529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BROWN",
            "middle_name": "SIDWELL",
            "prefix": "MS.",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward H Snyder, MD
• W. Randy Snyder, DDS, MS
• Lisa J Sobrero
• Anthony Charles Soldano, MD
• Jaicus Kainoa Solis, MD
• Kaushal Sondarwa, MD
• Ye Kyung Song, MD, PHD
• Ariadna Sonni-Oquendo, LPC
• Eric Hayes Sorrell, PHARM.D.
• Bill Franklin Sorrels, D.O.

• Metabolic Nutrition Registered Dietitian in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Metabolic Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.