Individual provider Active NPI

Kristine Louise Soly, MD, FACC

  • Cardiovascular Disease Physician
  • Crossville, TN
National Provider Identifier
1386770816
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34981 Issued in MA
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

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000329 TN Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052557840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34981MAMDCardiovascular 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

Verify at the official NPI Registry.