Individual provider Active NPI

Sondra H Solomon, APMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1366747412
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5005077 Issued in NC
Practice address
5312 Six Forks Rd Ste 301
Raleigh, NC 27609-4458
Phone
(091) 979-0766
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 201535 NC
Addiction Psychiatry Physician 2084P0802X 5005077 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005077 NC Primary

Addresses

Primary practice location

5312 Six Forks Rd Ste 301
Raleigh, NC 27609-4458

Mailing address

6710A Whisper Creek Dr
Whitsett, NC 27377-9818
Phone (919) 548-3846

Other practice location 1

4324 S Alston Ave Ste 205
Durham, NC 27713-2567
Phone (919) 748-4555

Other practice location 2

2001 Harrier Ct
Durham, NC 27713-8592
Phone (919) 548-3846

Other practice location 3

1423 Marshall St
Roanoke Rapids, NC 27870-4413
Phone (919) 548-3846

Other names 1

  • Sondra Lynn Huffman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110224000212 NC Practitioner - Nurse Practitioner 6002097011 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur Fenner Outreach Center LLCGroup PAC ID 5294105292, 2 clinicians

Practice addresses (Care Compare)

1423 Marshall St
Roanoke Rapids, NC 27870-4413
Phone (252) 541-1235

5312 Six Forks Rd
Suite 301
Raleigh, NC 27609-4458
Phone (919) 669-1982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005077NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions and Support Services CurrentSince Jan 8, 2024 Accepting new patients
Firefly Behavioral Services, PLLC CurrentSince May 1, 2023 Accepting new patients
Arthur Fenner Outreach Center LLC CurrentSince Dec 1, 2022 Accepting new patients
Paradigm Health Psychiatric SRV, LLC CurrentSince Feb 8, 2011 Accepting new patients
Crandell'S Enterprise'S Inc. CurrentSince May 26, 2019 Accepting new patients

Locations

13575 58th St N
Ste 187
Clearwater, FL 33760
Phone (727) 538-4151

7431 114th Ave
Ste 104
Largo, FL 33773
Phone (727) 531-6145

4324 S Alston Ave
Ste 205
Durham, NC 27713
Phone (919) 748-4555

120 Penmarc Dr
Ste 118
Raleigh, NC 27603

5312 Six Forks Rd
Ste 301
Raleigh, NC 27609
Phone (919) 713-0930

1423 Marshall St
Roanoke Rapids, NC 27870
Phone (252) 541-1235

Interoperability endpoints

  • Direct secure messaging: sondra.solomon.1@30030.direct.athenahealth.com

Organizations & group practices 5

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1366747412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710A WHISPER CREEK DR",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779818",
            "telephone_number": "919-548-3846",
            "fax_number": "336-603-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 SIX FORKS RD STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094458",
            "telephone_number": "091-979-0766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4324 S Alston Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277132567",
            "country_code": "US",
            "telephone_number": "919-748-4555",
            "fax_number": "919-237-9166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Harrier Ct",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277138592",
            "country_code": "US",
            "telephone_number": "919-548-3846",
            "fax_number": "336-603-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704413",
            "country_code": "US",
            "telephone_number": "919-548-3846",
            "fax_number": "336-603-6942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "SONDRA",
        "middle_name": "H",
        "credential": "APMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "201535",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "5005077",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONDRA",
            "last_name": "HUFFMAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.