Active NPI
Kristine Louise Soly, MD, FACC
- Cardiovascular Disease Physician
- Crossville, TN
National Provider Identifier
1386770816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 34981
- Practice address
- 917 Hillcrest Dr
Crossville, TN 38555-8713 - Phone
- (931) 456-5900
- Fax
- (931) 456-5916
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 34981 | MA | Primary |
Addresses
Primary practice location
917 Hillcrest Dr
Crossville, TN 38555-8713
Mailing address
42 Whistler LN
Yarmouth Port, MA 02675-1437
Phone (931) 456-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130424000329 | TN | Order and Referring Only - Cardiovascular Disease (Cardiology) | 1052557840 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34981 | MA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1386770816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WHISTLER LN",
"city": "YARMOUTH PORT",
"state": "MA",
"postal_code": "026751437",
"telephone_number": "931-456-5900",
"fax_number": "931-456-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 HILLCREST DR",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385558713",
"telephone_number": "931-456-5900",
"fax_number": "931-456-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLY",
"first_name": "KRISTINE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "MD, FACC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "34981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.