Individual provider Active NPI

Justin A Solomon, MSN, RN, CPNP-AC

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1366255333
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1140062 Issued in TX
Practice address
7329 Wolverine St
Austin, TX 78757-1521
Phone
(214) 280-3415
NPI assigned
Jan 31, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1140062 TX Primary

Addresses

Primary practice location

7329 Wolverine St
Austin, TX 78757-1521

Mailing address

7329 Wolverine St
Austin, TX 78757-1521
Phone (214) 280-3415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250611002932 TX Practitioner - Nurse Practitioner 1456861087 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1140062TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Apr 14, 2025 Accepting new patients
Dell Children'S Medical Group CurrentSince Apr 14, 2025 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

4910 Mueller Blvd
Ste 102
Austin, TX 78723
Phone (512) 777-2917

1301 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 260-7867

4853 Williams Dr
Ste 105
Georgetown, TX 78633
Phone (512) 691-6505

1180 Seton Pkwy
Ste 250
Kyle, TX 78640
Phone (512) 777-2917

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

6101 Woodway Dr
Ste 220
Woodway, TX 76712
Phone (512) 320-8388

Interoperability endpoints

  • Direct secure messaging: justin.solomon.1@8363.direct.athenahealth.com
  • Direct secure messaging: justin.solomonpnp.p105@direct.mednax.nextgenshare.com

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": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1366255333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 WOLVERINE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571521",
            "telephone_number": "214-280-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 WOLVERINE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571521",
            "telephone_number": "214-280-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JUSTIN",
        "middle_name": "A",
        "credential": "MSN, RN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1140062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.